Three Cases of Endoscopic Endonasal Optic Nerve Decompression for Nontraumatic Optic Neuropathy
10.3342/kjorl-hns.2018.00878
- Author:
Oh Hyeong LEE
1
;
Do-Youn KIM
;
Yeon Hee IM
;
Jin Hee CHO
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
- Publication Type:Case Report
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2020;63(1):31-36
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The rate of traumatic or nontraumatic optic neuropathy has increased in recent decades. High dose steroid, surgery and combined treatment are used for management of optic neuropathy. Surgical intervention using an endoscopic intranasal approach is expected to provide a safe and effective method for optic nerve decompression. We present outcomes of three patients with neuropathy who underwent endoscopic optic nerve decompression. Of the three patients, two showed improvement: from hand motion to 0.8 and 0.63, respectively. However, one patient who was not able to perceive light did not improve vision after surgery. The difference between the recovered patients and the patient who did not show improvement may be a result of initial visual acuity. Early diagnosis and prompt surgical management could increase the likelihood of improved visual performance; however, this may be limited to patients whose initial visual acuity is better than light perception.
