Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Transantral-Ethmoidal Decompression of Optic Canal Fracture

Transantral-Ethmoidal Decompression of Optic Canal Fracture Abstract • A case of indirect trauma to the optic nerve was successfully treated with transethmoidal decompression. The literature was reviewed, and reports of poor results from neurosurgical procedures are cited. Improved results from transethmoidal decompression of the optic nerve have been reported by Japanese authors but, in our opinion, without proper selection of cases. Early diagnosis of traumatic compression of the intracanalicular optic nerve as evidenced by delayed and/or progressive vision loss following injury, coupled with prompt transantral-ethmoidal surgical decompression, should yield gratifying results in the treatment of this uncommon condition. References 1. Fukado Y: Results in 350 cases of surgical decompression of the optic nerve . Trans Asia-Pacif Acad Ophthalmol 4:96-99, 1972. 2. Drews RC: The Gunn pupil sign . Am J Ophthalmol 54:1109-1113, 1962. 3. Fukado Y: Diagnosis and surgical correction of optic canal fracture after head injury , in Proceedings of the Third Congress of the European Society of Ophthalmology . Amsterdam, European Society of Ophthalmology, 1968, pp 307-314. 4. Obenchain TG, Killeffer FA, Stern WE: Indirect injury of the optic nerves and chiasm with closed head injury . Bull Los Angeles Neurol Soc 38:13-20, 1973. 5. Walsh FB, Hoyt WF: Craniocerebral trauma hypoxia and injuries by other physical agents , in Clinical Neuro-Ophthalmology . Baltimore, Williams & Wilkins Co, 1969, vol 3, pp 2375-2381. 6. Schmaltz B, Schürmann K: Traumatische Optikusschäden: Probleme der Ätiogie und der operativen Behandlung . Klin Monatsbl Augenheilkd 159:33-49, 1971. 7. Niho S, Niho M, Niho K: Decompression of the optic canal by the transethmoidal route and decompression of the superior orbital fissure . Can J Ophthalmol 5:22-40, 1970. 8. Rougier PJ, Goutelle A, Sindou M, et al: Regression d'une cécité post-traumatique par trépanation sous-frontale du canal optique: Étude des séquelles . J Med Lyon 53:1413-1415, 1972. 9. Victorica V: Reactualizacion sobre las indicaciones quirurgicas en los edemas agudos y subagudos del nervio optico . Arch Oftal B Aires 45:521-526, 1970. 10. Hughes B: Indirect injury of the optic nerves and chiasm . Bull Johns Hopkins Hosp 111:98-126, 1962. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Transantral-Ethmoidal Decompression of Optic Canal Fracture

Loading next page...
 
/lp/american-medical-association/transantral-ethmoidal-decompression-of-optic-canal-fracture-0NFAjwINhf
Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1976.03910030534017
Publisher site
See Article on Publisher Site

Abstract

Abstract • A case of indirect trauma to the optic nerve was successfully treated with transethmoidal decompression. The literature was reviewed, and reports of poor results from neurosurgical procedures are cited. Improved results from transethmoidal decompression of the optic nerve have been reported by Japanese authors but, in our opinion, without proper selection of cases. Early diagnosis of traumatic compression of the intracanalicular optic nerve as evidenced by delayed and/or progressive vision loss following injury, coupled with prompt transantral-ethmoidal surgical decompression, should yield gratifying results in the treatment of this uncommon condition. References 1. Fukado Y: Results in 350 cases of surgical decompression of the optic nerve . Trans Asia-Pacif Acad Ophthalmol 4:96-99, 1972. 2. Drews RC: The Gunn pupil sign . Am J Ophthalmol 54:1109-1113, 1962. 3. Fukado Y: Diagnosis and surgical correction of optic canal fracture after head injury , in Proceedings of the Third Congress of the European Society of Ophthalmology . Amsterdam, European Society of Ophthalmology, 1968, pp 307-314. 4. Obenchain TG, Killeffer FA, Stern WE: Indirect injury of the optic nerves and chiasm with closed head injury . Bull Los Angeles Neurol Soc 38:13-20, 1973. 5. Walsh FB, Hoyt WF: Craniocerebral trauma hypoxia and injuries by other physical agents , in Clinical Neuro-Ophthalmology . Baltimore, Williams & Wilkins Co, 1969, vol 3, pp 2375-2381. 6. Schmaltz B, Schürmann K: Traumatische Optikusschäden: Probleme der Ätiogie und der operativen Behandlung . Klin Monatsbl Augenheilkd 159:33-49, 1971. 7. Niho S, Niho M, Niho K: Decompression of the optic canal by the transethmoidal route and decompression of the superior orbital fissure . Can J Ophthalmol 5:22-40, 1970. 8. Rougier PJ, Goutelle A, Sindou M, et al: Regression d'une cécité post-traumatique par trépanation sous-frontale du canal optique: Étude des séquelles . J Med Lyon 53:1413-1415, 1972. 9. Victorica V: Reactualizacion sobre las indicaciones quirurgicas en los edemas agudos y subagudos del nervio optico . Arch Oftal B Aires 45:521-526, 1970. 10. Hughes B: Indirect injury of the optic nerves and chiasm . Bull Johns Hopkins Hosp 111:98-126, 1962.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jun 1, 1976

References