Jirásková N, Rozsíval P
Ocní klinika Fakultní nemocnice, Hradec Králové.
Cesk Slov Oftalmol. 1996 Oct;52(5):297-307.
The authors present results of optic nerve sheath decompression in 37 eyes. The decompression surgery was performed for progressive form of anterior ischemic optic neuropathy (AION) in 11 eyes, AION combined with central retinal vein occlusion in 2 eyes, low tension glaucoma in 7 eyes (+1 reoperation), central. retinal vein occlusion in 1 eye, optic nerve head drusen in 11 eyes, chronic optic disc edema in pseudotumor cerebri in 3 eyes, amiodarone optic neuropathy in 1 eye. Postoperative findings (visual acuity and visual field) are presented for each diagnosis. After surgery a transient double vision developed in 5 patients. We have not seen any other complications. Optic nerve sheath decompression is a controversial method of treatment for optic neuropathies. We advocate this method of treatment for vision-threatening optic neuropathies after thoroughly balanced assessment of possible risks and gains.
作者介绍了37只眼视神经鞘减压术的结果。对11只眼的进行性前部缺血性视神经病变（AION）、2只眼的AION合并视网膜中央静脉阻塞、7只眼（1只眼再次手术）的低眼压性青光眼、1只眼的视网膜中央静脉阻塞、11只眼的视乳头玻璃疣、3只眼假脑瘤的慢性视盘水肿、1只眼的胺碘酮性视神经病变实施了减压手术。针对每种诊断给出了术后结果（视力和视野）。术后5例患者出现短暂复视。未发现其他并发症。视神经鞘减压术是一种有争议的视神经病变治疗方法。在对可能的风险和益处进行全面权衡评估后，我们主张对威胁视力的视神经病变采用这种治疗方法。
