Role of delayed wider endoscopic optic decompression for traumatic optic neuropathy: a single-center surgical experience

Zhao, Shichao; Li, Yong; Zhang, Jialiang; Wu, Jiangping; Liu, Hao-Cheng; Sun, Si; Song, Guidong; Ma, Jianmin; Kang, Jun

doi:10.21037/atm-20-7810

Cited by 6 publications

(2 citation statements)

References 47 publications

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“…This case series showed 172 cases (172/525, 33.7%) with blindness and 106 cases (106/160, 66.3%) with residual eyesight who gained improvement from medical intervention. Intervention within 2 weeks is extremely crucial to improve the VA after trauma, especially for the cases with NLP (26).…”

Section: Discussionmentioning

confidence: 99%

The outcome of surgical and non-surgical treatments for traumatic optic neuropathy: a comparative study of 685 cases

Wang¹,

Zhao²,

Li³

et al. 2022

Ann Transl Med

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Background: The choice and efficacy of surgical or/and surgical treatments for traumatic optic neuropathy (TON) remained controversial by now. This study aims to present the outcomes of surgical and nonsurgical treatments for TON in our center.Methods: A total of 685 consecutive patients were retrospectively included in the study. And divided into surgical and non-surgical groups. All cases were treated with corticosteroids for 3 days after admission.Endoscopic optic decompression was applied to 479 patients of surgical group; The other 206 patients of nonsurgical were administered with corticosteroids alone. The visual outcomes before and after treatment were compared with Wilcoxon rank and tests. The improvement rate between two groups were compared with chi-square test.Results: The visual acuity (VA) after treatment was significantly better than that before treatment (P=0.000).Overall VA improvement rate in the surgical group was better than that in non-surgical group (42.8% vs. 35.4%) with no significant difference (P=0.072). The VA improvement rate was significant greater in the surgical group than that in the non-surgical group in the patients with NLP before treatment (P=0.028). The VA improvement rate was better in the surgical group than that in the non-surgical group (71.9% vs. 57.8%) but with no significant difference. The final overall VA was 0.1 or better in 43 cases; 104 cases were able to count fingers; hand motion (HM) became perceivable in 132 cases; light perception (LP) was achieved in 53 cases; and no light perception (NLP) remained in 353 cases.Conclusions: Endoscopic optic nerve decompression (EOND) combined with corticosteroids or corticosteroids alone could reach the improvement for patients with TON. The EOND combined with corticosteroids could achieve better VA improvement in patients with NLP.

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Section: Discussionmentioning

confidence: 99%

The outcome of surgical and non-surgical treatments for traumatic optic neuropathy: a comparative study of 685 cases

Wang¹,

Zhao²,

Li³

et al. 2022

Ann Transl Med

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“…13 Visual improvement can still be seen if surgical intervention was performed up to 2 weeks post trauma in patients with no light perception and up to 1 month post trauma in patients with residual vision. 14 In the present study, our patients were subjected to early intervention within 72 h after adequate preoperative preparation such as imaging and eye examinations.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome

Lee

Tang

2022

Pol. Ann. Med.

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IntroductionOrbital and optic nerve decompression has evolved over the years from an open surgery initially, to the current endoscopic approach. The current endoscopic approach is popularized on the idea of a safer surgery with better or similar outcome compared to open surgery.AimTo review the outcomes of endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries in the Otorhinolaryngology-Head and Neck Surgery Department of a tertiary referral centre.Material and methodsA retrospective review of data on orbital and optic nerve decompression which was done on a total of 10 eyes involving 9 patients from July 2015 to December 2017 were collected. Data that were collected includes demographic data, visual assessment, time to surgery and surgical outcomes with review of patients’ status within three months postoperatively.Results and discussionAmong the 9 patients operated, four presented with diplopia, another four with blurring of vision (BOV) and one with both the symptoms. Our review shows complete resolution of diplopia in 2 patients with another 3 reporting improvement in the symptom. Among the 5 patients with visual acuity impairment, 3 patients reported improvement while another 2 showed no worsening. There were no surgical complications reported throughout the study.ConclusionsEndoscopic endonasal orbital and optic nerve decompression continues to evolve with increasing application in our surgical practice. Excellent outcomes in patients’ status postoperatively should encourage us to consider endoscopic endonasal orbital and optic nerve decompression as the surgical approach of choice for such cases.

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Traumatic optic neuropathy: a review of current studies

et al. 2022

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Role of delayed wider endoscopic optic decompression for traumatic optic neuropathy: a single-center surgical experience

Cited by 6 publications

References 47 publications

The outcome of surgical and non-surgical treatments for traumatic optic neuropathy: a comparative study of 685 cases

The outcome of surgical and non-surgical treatments for traumatic optic neuropathy: a comparative study of 685 cases

Endoscopic endonasal orbital and optic nerve decompression for traumatic orbital injuries: A review of outcome

Traumatic optic neuropathy: a review of current studies

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