Stoll W, Busse H, Kroll P
Univ.-HNO-Klinik, Münster.
Laryngol Rhinol Otol (Stuttg). 1987 Nov;66(11):577-82.
The cause of visual impairment must always be clarified as soon as possible. During the last 6 years visual loss in 60 selected patients was caused by infectious processes, mucoceles, benign tumours, endocrine ophthalmopathies, head traumas etc. The comparison of preoperative and postoperative visual function in 48 cases treated by decompression of the orbit and in 12 cases treated by decompression of the optic nerve demonstrated visual improvement in 68 per/cent. Surgically we preferred the transethmoidal route and in some cases the lateral osteoplastic approach. In respect of the success of the surgical therapy, a correlation with the interval between the time of manifestation of visual loss and the time of surgery was found. Furthermore, the results depended on the basic diseases.
必须始终尽快明确视力损害的原因。在过去6年中，60例选定患者的视力丧失是由感染性病变、黏液囊肿、良性肿瘤、内分泌性眼病、头部外伤等引起的。对48例行眼眶减压术和12例行视神经减压术治疗的患者术前和术后视力功能进行比较，结果显示68%的患者视力有所改善。手术方面，我们更倾向于经筛窦入路，在某些情况下采用外侧骨成形术入路。关于手术治疗的成功率，发现与视力丧失出现时间和手术时间之间的间隔存在相关性。此外，结果还取决于基础疾病。
