Abstract
In patients with pseudotumor cerebri accompanied by loss of vision, optic nerve sheath fenestration is an effective route to prompt recovery of vision. A lateral orbitotomy approach to decompression of the optic nerve is appropriate for the ophthalmologist with adequate orbital experience. A rectangular window of dura and arachnoid, measuring approximately 3 x 5 mm, is excised from the bulbous portion of the optic nerve. It is important that the arachnoid within the window is excised because an intact arachnoid is an effective barrier to cerebrospinal fluid egress. The use of operating microscope, microsurgical instrument, and microdissecting techniques are emphasized. Twenty-eight patients (40 eyes) with progressive visual loss were treated by surgical nerve sheath fenestration. A study of the indications, results, and complications of this procedure is presented in a companion article.
| Original language | English |
|---|---|
| Pages (from-to) | 1458-1462 |
| Number of pages | 5 |
| Journal | Archives of Ophthalmology |
| Volume | 106 |
| Issue number | 10 |
| State | Published - Jan 1 1988 |
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ASJC Scopus subject areas
- Ophthalmology
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Optic nerve sheath fenestration in pseudotumor cerebri. A lateral orbitotomy approach. / Tse, David; Nerad, J. A.; Anderson, R. L.; Corbett, J. J.
In: Archives of Ophthalmology, Vol. 106, No. 10, 01.01.1988, p. 1458-1462.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Optic nerve sheath fenestration in pseudotumor cerebri. A lateral orbitotomy approach
AU - Tse, David
AU - Nerad, J. A.
AU - Anderson, R. L.
AU - Corbett, J. J.
PY - 1988/1/1
Y1 - 1988/1/1
N2 - In patients with pseudotumor cerebri accompanied by loss of vision, optic nerve sheath fenestration is an effective route to prompt recovery of vision. A lateral orbitotomy approach to decompression of the optic nerve is appropriate for the ophthalmologist with adequate orbital experience. A rectangular window of dura and arachnoid, measuring approximately 3 x 5 mm, is excised from the bulbous portion of the optic nerve. It is important that the arachnoid within the window is excised because an intact arachnoid is an effective barrier to cerebrospinal fluid egress. The use of operating microscope, microsurgical instrument, and microdissecting techniques are emphasized. Twenty-eight patients (40 eyes) with progressive visual loss were treated by surgical nerve sheath fenestration. A study of the indications, results, and complications of this procedure is presented in a companion article.
AB - In patients with pseudotumor cerebri accompanied by loss of vision, optic nerve sheath fenestration is an effective route to prompt recovery of vision. A lateral orbitotomy approach to decompression of the optic nerve is appropriate for the ophthalmologist with adequate orbital experience. A rectangular window of dura and arachnoid, measuring approximately 3 x 5 mm, is excised from the bulbous portion of the optic nerve. It is important that the arachnoid within the window is excised because an intact arachnoid is an effective barrier to cerebrospinal fluid egress. The use of operating microscope, microsurgical instrument, and microdissecting techniques are emphasized. Twenty-eight patients (40 eyes) with progressive visual loss were treated by surgical nerve sheath fenestration. A study of the indications, results, and complications of this procedure is presented in a companion article.
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M3 - Article
C2 - 3052386
AN - SCOPUS:0023789359
VL - 106
SP - 1458
EP - 1462
JO - JAMA Ophthalmology
JF - JAMA Ophthalmology
SN - 2168-6165
IS - 10
ER -