Vertical lid split approach for optic nerve sheath decompression.
We describe a vertical lid split orbitotomy approach to perform optic nerve sheath fenestration which was done in a patient with idiopathic intracranial hypertension. A vertical lid split incision was used to enter the superomedial orbit and approach the optic nerve sheath. This approach resulted in a successful nerve sheath fenestration, with improvement in the patient's symptoms. The vertical lid split incision provides access to the optic nerve sheath with minimal morbidity and may be an option for optic nerve sheath decompression.
Prabhakaran
Venkatesh C
VC
Oculoplastic and Orbital Division, Department of Ophthalmology and Visual Sciences, University of Adelaide and the South Australian Institute of Ophthalmology, Adelaide, Australia. eye@health.sa.gov.au
Selva
Dinesh
D
D000328:Adult; D019299:Decompression, Surgical / Q000379:methods*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000150:complications / Q000601:surgery*; D009900:Optic Nerve / Q000601:surgery*; D009915:Orbit / Q000601:surgery*; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology