视神经鞘开窗术治疗进行性缺血性视神经病变。26例患者的结果。
Optic nerve sheath fenestration for treatment of progressive ischemic optic neuropathy. Results in 26 patients.
作者信息
Jablons M M, Glaser J S, Schatz N J, Siatkowski R M, Tse D T, Kronish J W
机构信息
Bascom Palmer Eye Institute, University of Miami, FL 33136.
出版信息
Arch Ophthalmol. 1993 Jan;111(1):84-7. doi: 10.1001/archopht.1993.01090010088032.
Optic nerve sheath fenestration was performed in 26 eyes for treatment of the progressive type of common (nonarteritic) anterior ischemic optic neuropathy. During a mean follow-up period of 21 weeks (range, 6 to 52 weeks), results were as follows: visual acuity increased by two or more lines on the Snellen chart in 7 eyes; visual acuity decreased by two or more lines in four eyes; some regression of visual field defects occurred in six eyes, including two eyes in which acuity also improved. These results, attributed to surgical decompression, do not exceed the spontaneous recovery rates reported in the literature pertaining to nonarteritic anterior ischemic optic neuropathy and fail to substantiate the sanguine visual outcome in recently reported series of patients undergoing optic nerve sheath decompression.
对26只眼睛进行了视神经鞘开窗术，以治疗进展型普通（非动脉炎性）前部缺血性视神经病变。在平均21周（范围6至52周）的随访期内，结果如下：7只眼睛的视力在斯内伦视力表上提高了两行或更多行；4只眼睛的视力下降了两行或更多行；6只眼睛的视野缺损有所减轻，其中2只眼睛的视力也有所改善。这些归因于手术减压的结果并未超过文献中报道的非动脉炎性前部缺血性视神经病变的自发恢复率，也未能证实最近报道的接受视神经鞘减压术的患者系列中乐观的视力结果。
Zotero 插件