Girard B C, Bouzas E A, Lamas G, Soudant J
Ophthalmology Service, Hopital Pitié-Salpetrière, Paris, France.
J Clin Neuroophthalmol. 1992 Sep;12(3):142-8.
Transethmoid-sphenoid decompression has been performed on 11 patients with indirect optic nerve injury. Visual improvement occurred in 8 patients, including 4 patients with initial total blindness. Optic neuropathy improved even when there was a long interval, up to 92 days, between trauma and decompression. There is still controversy about the treatment of traumatic optic neuropathy. Our results suggest that surgery can be helpful in the management of this condition. Transethmoid-sphenoid optic nerve decompression is a minimally invasive procedure that gave, in this series, satisfactory results with low morbidity.
对11例间接性视神经损伤患者实施了经筛窦-蝶窦减压术。8例患者视力得到改善，其中包括4例最初完全失明的患者。即使在创伤与减压之间间隔时间很长（长达92天），视神经病变仍有改善。创伤性视神经病变的治疗仍存在争议。我们的结果表明手术有助于治疗这种疾病。经筛窦-蝶窦视神经减压术是一种微创手术，在本系列研究中取得了满意的效果，且发病率较低。
