The use of the endoscopic approach in cases of non-traumatic optic neuropathy is well documented in the literature. 1 This approach can also be of benefit in cases of visual loss from skull base meningiomas directly compressing the nerve. Specifically, the transnasal endoscopic approach affords excellent visualisation of the orbital apex and optic canal with minimal patient morbidity.
| ObjectivesWe intend to highlight the benefits of our technique (which includes a posterior to anterior approach) and discuss the role of optic nerve sheath incision by reviewing visual outcomes and complications.
| METHODS
| Ethical considerationsThis was an audit of local practice and therefore did not require ethical approval. All patients involved were appropriately consented for the procedure. We used the CARE checklist when writing our report. 2