Browse > Article

Optic Nerve Decompression for Traumatic Optic Neuropathy: A Case Report  

Hyun, Kyung Bae (Institute of Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine)
Kim, Sun Ho (Department of Neurosurgery, Yonsei University College of Medicine)
Choi, Jong Woo (Institute of Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine)
Kim, Yong Oock (Institute of Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine)
Park, Beyoung Yun (Institute of Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine)
Publication Information
Archives of Plastic Surgery / v.32, no.3, 2005 , pp. 389-392 More about this Journal
Abstract
A case of visual loss following cranio-maxillofacial trauma is reported. The patient had acute optic nerve injury associated with a fracture of the right zygomaticomaxillary and fronto-naso-ethmoido-orbital bone and epidural hematoma on the right temporal lobe of brain. Bony fragments compressing the optic nerve on lateral side was identified on computed tomography. Decompression of the optic nerve combined with evacuation of epidural hematoma has been performed via transfrontal craniotomy. The patient had complete recovery of visual acuity without any complications. The role of optic nerve decompression in the management of patients with traumatic optic neuropathy is discussed. Surgical indication is controversial and the procedure should be considered only within the context of the specific indication of the individual patient.
Keywords
Traumatic optic neuropathy; Optic nerve decompression;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Mine S, Yamakami I, Yamaura A, Hanawa K, Ikejiri M, Mizota A, Adachi-Usami E: Outcome of traumatic optic neuropathy. Comparison between surgical and nonsurgical treatment. Acta Neurochir 141: 27, 1999   DOI   ScienceOn
2 Wang BH, Robertson BC, Girotto JA, Liem A, Miller NR, Iliff N, Manson PN: Traumatic optic neuropathy: a review of 61 patients. Plasl Reconstr Surg 107: 1655, 2001   DOI   ScienceOn
3 Choi DC, Lee HG, Koh YC, Cho MK, Hwang DY: Effectiveness of Optic Never Decompression for Traumatic Optic Neuropathy. J Korean Neurosurg Soc 23: 109, 1994
4 Kalida I, Hyrkas T, Paukku P, Iizuka T, Lindqvist C: Blindness after maxillofacial blunt trauma. Evaluation of candidates for optic nerve decompression surgery. J Craniomaxillofac Surg 22: 220, 1994   DOI   ScienceOn
5 Rajiniganth MG, Gupta AK, Gupta A, Bapuraj JR: Traumatic optic neuropathy. Visual outcome following combined therapy protocol. Arch Otolaryngol Head Neck Surg 129: 1203, 2003   DOI   ScienceOn
6 Yang WG, Chen CT, Tsay PK, de Villa GH, Tsai YJ, Chen YR: Outcome for traumatic optic neuropathysurgical versus nonsurgical treatment. Ann Plast Surg 52: 36, 2004   DOI   ScienceOn
7 Chung IY, Park JM, Yoo JM: High Dose Steroid and Optic Canal Decompression in the Treatment of Traumatic Optic Neuropathy. J Korean Ophthalmol Soc 41: 1210, 2000
8 Kim KH, Sahn YR, Yoo SK, Yoo YC: Optic Nerve Injury Associated with Facial Trauma. J Korean Soc Plast Reconstr Surg 27: 521, 2000
9 Pomeranz HD, Rizzo JF, Lessell S: Treatment of traumatic optic neuropathy. lnt Ophthalmol Clin 39: 185, 1999   DOI   ScienceOn