Transcranial approach for treatment for traumatic optic chiasm syndrome.
To describe the visual outcome of patients with a traumatic optic chiasm syndrome, with and without neurosurgical intervention. The retrospective clinical interventional study included 14 patients, who either underwent a neurosurgical intervention with transcranial decompression of the optic canal (11 patients) in combination with a high-dosage systemic corticosteroid therapy or who received a high-dosage systemic corticosteroid treatment only (3 patients). In the surgical group, visual field improved after surgery in 6 (55%) patients and remained unchanged in 5 (45%) patients, while in none of the patients without surgery, the visual field improved. Neurosurgical decompression of the optic chiasm and optic nerve canal may be associated with a visual improvement in some patients with a traumatic optic chiasm syndrome.
Wang
Jian
J
Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, China.
Sheng You
Qi
Q
Xu
Liang
L
Zhang
Tianming
T
Qiu
E
E
Jonas
Jost B
JB
D000328:Adult; D001930:Brain Injuries / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D006547:Hernia / Q000209:etiology / Q000473:pathology; D059685:Herniorrhaphy; D006801:Humans; D007018:Hypopituitarism / Q000188:drug therapy / Q000209:etiology; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods; D009897:Optic Chiasm / Q000293:injuries / Q000473:pathology* / Q000601:surgery*; D012189:Retrospective Studies; D013577:Syndrome; D016896:Treatment Outcome; D015354:Vision, Low / Q000209:etiology / Q000601:surgery*; D055815:Young Adult