Unilateral blindness after ipsilateral prophylactic transcranial optic canal decompression for fibrous dysplasia.
OBJECTIVE
To report a case of unilateral blindness after ipsilateral prophylactic transcranial optic canal decompression for fibrous dysplasia.


METHODS
Case report. A 37-year-old woman with fibrous dysplasia underwent a prophylactic left optic canal decompression. Preoperatively, the left eye had a visual acuity of 20/20.


RESULTS
Four days after apparently uncomplicated left optic canal decompression, the left eye lost all light perception. Blindness in the left eye persisted despite surgical exploration and transcranial optic nerve sheath fenestration.


CONCLUSIONS
Although prophylactic optic canal decompression warrants consideration in selected patients with fibrous dysplasia, notable risks are associated with this surgery.
Edelstein
C
C
Division of Orbital and Ophthalmic Plastic Surgery, UCLA School of Medicine, USA.
Goldberg
R A
RA
Rubino
G
G
D000328:Adult; D001766:Blindness / Q000209:etiology*; D019299:Decompression, Surgical / Q000009:adverse effects*; D005260:Female; D005357:Fibrous Dysplasia of Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D009900:Optic Nerve / Q000000981:diagnostic imaging / Q000601:surgery*; D009915:Orbit / Q000000981:diagnostic imaging / Q000601:surgery*; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity