Outcomes of Optic Nerve Sheath Decompression for Nonarteritic Ischemic Optic Neuropathy

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Title Outcomes of Optic Nerve Sheath Decompression for Nonarteritic Ischemic Optic Neuropathy
Creator Robert D. Yee, MD, FACS, Aki K. Selky, MD, Valerie A. Purvin, MD
Affiliation Indiana University School of Medicine, Department of Ophthalmology, Indianapolis
Abstract Efficacy of optic nerve sheath decompression (ONSD) in treating non-arteritic ischemic optic neuropathy (NAION) is not clear. We retrospectively analyzed the records of 91 patients with NAION, who were examined during a two-year period, and compared the final Snellen visual acuities of eyes treated with ONSD with those of eyes that did not have surgery. Seven of 18 eyes with ONSD (39%) demonstrated increased visual acuity of two or more lines; whereas 23 of 71 eyes without surgery (32%) had increased acuity. The ONSD group and no surgery group were further subdivided into eyes with progressive visual loss and nonprogressive visual loss. No statistically significant differences in visual outcome between groups were found. We did not find the high frequency of visual improvement that has been reported in some studies of ONSD for NAION.
Subject Adult; Older people; Older people, 80 and over; Arteritis/surgery; Female; Humans; Ischemia/etiology; Ischemia/physiopathology; Ischemia/surgery; Male; Middle Older people; Myelin Sheath; Optic Nerve/blood supply; Optic Nerve/physiopathology; Optic Nerve/surgery; Retrospective Studies; Treatment Outcome; Visual Acuity
OCR Text Show
Date 1994-06
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s67t0ts6
Setname ehsl_novel_jno
ID 224488
Reference URL https://collections.lib.utah.edu/ark:/87278/s67t0ts6
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