Lee A G, Patrinely J R, Edmond J C
Department of Ophthalmology, Baylor College of Medicine, Houston, TX 77030, USA.
Ophthalmic Surg Lasers. 1998 Jun;29(6):514-7.
The authors report a retrospective review of two cases of optic nerve sheath decompression in children (age younger than 16 years) and review the literature on the procedure. Two children underwent optic nerve sheath decompression. Optic disc edema resolved in both eyes after surgery. Some degree of visual improvement was obtained in one eye of each patient after surgery, but one eye was unchanged in one patient and one eye of the other patient had worsening of visual acuity after surgery. Neither patient suffered any systemic complications from the procedure. Of 12 patients in the literature (including these 2 patients), 66% experienced improved visual acuity following optic nerve sheath decompression, 33% had improvement in visual field, and 17% suffered worsening of visual acuity and visual field after surgery. Although optic nerve sheath decompression is a relatively safe and effective treatment for visual loss due to papilledema in adults, significant complications, including further visual loss, may occur. The experience with this procedure in children is limited, but retrospective data suggest that the safety and efficacy of the procedure may be comparable with that in adult patients.
作者报告了两例儿童（年龄小于16岁）视神经鞘减压术的回顾性研究，并回顾了关于该手术的文献。两名儿童接受了视神经鞘减压术。术后双眼视盘水肿均消退。术后每名患者的一只眼睛获得了一定程度的视力改善，但一名患者的一只眼睛视力未变，另一名患者的一只眼睛术后视力恶化。两名患者均未因该手术出现任何全身并发症。文献中的12例患者（包括这2例患者）中，66%在视神经鞘减压术后视力得到改善，33%视野得到改善，17%术后视力和视野恶化。虽然视神经鞘减压术是治疗成人视乳头水肿所致视力丧失的一种相对安全有效的方法，但可能会出现包括进一步视力丧失在内的严重并发症。该手术在儿童中的经验有限，但回顾性数据表明该手术的安全性和有效性可能与成人患者相当。
