비외상성 시신경병증에서 내시경적 비내 시신경감압술 3예
Three Cases of Endoscopic Endonasal Optic Nerve Decompression for Nontraumatic Optic Neuropathy
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The rate of traumatic or nontraumatic optic neuropathy has increased in recent decades. Highdose steroid, surgery and combined treatment are used for management of optic neuropathy. Surgical intervention using an endoscopic intranasal approach is expected to provide a safeand effective method for optic nerve decompression. We present outcomes of three patientswith 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 patientwho was not able to perceive light did not improve vision after surgery. The differencebetween the recovered patients and the patient who did not show improvement may be a resultof initial visual acuity. Early diagnosis and prompt surgical management could increase thelikelihood of improved visual performance; however, this may be limited to patients whoseinitial visual acuity is better than light perception.
Abstract
The rate of traumatic or nontraumatic optic neuropathy has increased in recent decades. Highdose steroid, surgery and combined treatment are used for management of optic neuropathy. Surgical intervention using an endoscopic intranasal approach is expected to provide a safeand effective method for optic nerve decompression. We present outcomes of three patientswith 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 patientwho was not able to perceive light did not improve vision after surgery. The differencebetween the recovered patients and the patient who did not show improvement may be a resultof initial visual acuity. Early diagnosis and prompt surgical management could increase thelikelihood of improved visual performance; however, this may be limited to patients whoseinitial visual acuity is better than light perception.
참고문헌 (19)
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