Identifier |
wh_ch9_p443 |
Title |
Walsh & Hoyt: Traumatic Optic Neuropathies: Management - Surgical Considerations |
Creator |
Kenneth D. Steinsapir, MD; Robert A. Goldberg, MD |
Affiliation |
(RAG) UCLA |
Subject |
Optic Nerve Diseases; Wounds and Injuries; Surgical Considerations; Traumatic Optic Neuropathy |
Description |
Surgical intervention for traumatic optic neuropathy also remains empirical. Cromptons study suggests that a large percentage of intracanalicular injuries take place at the falciform dural fold. This is a location that will not benefit from optic canal decompression. However, it is possible that subsets of injuries might benefit from surgical intervention. For example, reduction of bone fragments impinging on the optic nerve is a compelling reason for surgical intervention, especially in cases of delayed visual loss, although these may represent untreatable injuries. The hypothesis that reducing the canal fracture benefits the injured nerve remains untested. The fracture may just be residual evidence of the forces imparted into the nerve at the moment of impact; lifting these fragments of bone may not provide any therapeutic benefit. |
Date |
2005 |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Source |
Walsh and Hoyt's Clinical Neuro-Ophthalmology, 6th Edition |
Relation is Part of |
Walsh and Hoyt's Clinical Neuro-Ophthalmology Walsh and Hoyt's Clinical Neuro-Ophthalmology |
Collection |
Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu |
Publisher |
Wolters Kluwer Health, Philadelphia |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890 |
Rights Management |
Copyright 2005. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s6m93j2v |
Setname |
ehsl_novel_whts |
ID |
185739 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6m93j2v |