Kaur Navjot, Patro Sourabha K, Gupta Ashok K, Chauhan Neha
Dept. of ENT and Head and Neck Surgery, PGIMER, Chandigarh, 160012 India.
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):972-975. doi: 10.1007/s12070-020-02004-7. Epub 2020 Aug 13.
Idiopathic intracranial hypertension (IIH), also called as benign intracranial hypertension is a disorder, which is considered benign in its course except its' ill effects on vision. Ocular findings in IIH such as papilledema, macular changes, retinal micro haemorrhages, cotton wool spots and tortuosity of vessels are the prominent features in funduscopy examination in these patients. Papilledema is a hallmark feature for evaluation of response to treatment. Ophthalmological rescue is a primary goal of management of idiopathic intracranial hypertension. Among the treatment options described in literature, optic nerve sheath fenestration is a minimally invasive endoscopic technique for the rescue of vision. We present this case-report, which will help ophthalmologists and the surgeons to determine the significance of the funduscopy changes after optic nerve sheath fenestration and help in decision making.
特发性颅内高压（IIH），也称为良性颅内高压，是一种疾病，除了对视力有不良影响外，其病程被认为是良性的。IIH的眼部表现，如视乳头水肿、黄斑改变、视网膜微出血、棉絮斑和血管迂曲，是这些患者眼底镜检查的突出特征。视乳头水肿是评估治疗反应的标志性特征。眼科救治是特发性颅内高压治疗的主要目标。在文献中描述的治疗选择中，视神经鞘开窗术是一种用于挽救视力的微创内镜技术。我们展示此病例报告，这将有助于眼科医生和外科医生确定视神经鞘开窗术后眼底镜检查变化的意义，并有助于做出决策。
