Girard B, Lamas G, Bouzas E, Topouzis F, Soudant J
Service d'Ophtalmologie, Hôpital Robert Ballanger, Aulnay-sous-Bois.
J Fr Ophtalmol. 1992;15(2):83-92.
Fifteen patients with traumatic optic neuropathy (anatomical section excluded) underwent surgical anterior decompression of the optic nerve, via the trans ethmoid-sphenoid approach. Improvement of visual function assessed by visual acuity and visual field measurements, was obtained in 10 patients. Results remained stable for a follow-up period of at least 6 months. There was a delay of several weeks before improvement in some of the patients. Thus a long follow-up period seems recommended. Trans ethmoid-sphenoid optic nerve decompression is a reliable procedure with low morbidity, and represents a promising therapy for indirect injuries of the optic nerve.
15例创伤性视神经病变患者（不包括解剖学横断伤）经鼻筛-蝶窦入路接受了视神经前路减压手术。通过视力和视野测量评估，10例患者的视功能得到改善。在至少6个月的随访期内结果保持稳定。部分患者在改善前有几周的延迟。因此，似乎建议进行长期随访。经鼻筛-蝶窦视神经减压术是一种可靠的手术，发病率低，是视神经间接损伤的一种有前景的治疗方法。
