Efficacy of Optic Nerve Sheath Fenestration in Patients with Increased Intracranial Pressure
Objectives:To evaluate the effectiveness of optic nerve sheath fenestration (ONSF) on visual functions in patients with increased intracranial pressure (İİP).Materials and Methods:The medical records of 24 eyes of 17 patients who had İİP due to idiopathic intracranial hypertension, cerebral venous s...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2023-02-01
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| Series: | Türk Oftalmoloji Dergisi |
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http://www.oftalmoloji.org/archives/archive-detail/article-preview/efficacy-of-optic-nerve-sheath-fenestration-in-pat/58679
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| author | Sait Coşkun Özcan Nedime Deveci Deniz Özarslan Özcan Feyza Önder |
| author_facet | Sait Coşkun Özcan Nedime Deveci Deniz Özarslan Özcan Feyza Önder |
| author_sort | Sait Coşkun Özcan |
| collection | DOAJ |
| description | Objectives:To evaluate the effectiveness of optic nerve sheath fenestration (ONSF) on visual functions in patients with increased intracranial pressure (İİP).Materials and Methods:The medical records of 24 eyes of 17 patients who had İİP due to idiopathic intracranial hypertension, cerebral venous sinus thrombosis, or intracranial cyst and underwent ONSF surgery to prevent visual loss were evaluated. Pre- and postoperative visual acuity, optic disc images, and visual field findings were reviewed.Results:The mean age of the patients was 30.4±8.5 years, and 88.2% were female. The patients’ mean body mass index was 28.67±6.1 kg/m2. The mean follow-up time was 24±12.1 months (range: 3-44). At postoperative 3 months, the mean best-corrected distance visual acuity had improved in 20 eyes (83.3%) and stabilized in 4 eyes (16.7%) compared to preoperative values. In visual field mean deviation, an improvement was observed in 10 eyes (90.9%), while 1 eye (9.1%) eye remained stable. Optic disc edema decreased in all patients.Conclusion:This study indicates that ONSF has beneficial effects on visual function in patients with rapidly progressive visual loss caused by increased intracranial pressure. |
| first_indexed | 2024-04-10T07:07:22Z |
| format | Article |
| id | doaj.art-8f374a8b3dee44658e19742592cf9e6b |
| institution | Directory Open Access Journal |
| issn | 1300-0659 2147-2661 |
| language | English |
| last_indexed | 2024-04-10T07:07:22Z |
| publishDate | 2023-02-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Oftalmoloji Dergisi |
| spelling | doaj.art-8f374a8b3dee44658e19742592cf9e6b2023-02-27T05:53:27ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612023-02-01531131710.4274/tjo.galenos.2022.4505713049054Efficacy of Optic Nerve Sheath Fenestration in Patients with Increased Intracranial PressureSait Coşkun Özcan0Nedime Deveci1Deniz Özarslan Özcan2Feyza Önder3 Hatay Mustafa Kemal Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Hatay, Türkiye Sağlık Bilimleri Üniversitesi Haseki Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Türkiye Hatay Mustafa Kemal Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Hatay, Türkiye Sağlık Bilimleri Üniversitesi Haseki Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, İstanbul, Türkiye Objectives:To evaluate the effectiveness of optic nerve sheath fenestration (ONSF) on visual functions in patients with increased intracranial pressure (İİP).Materials and Methods:The medical records of 24 eyes of 17 patients who had İİP due to idiopathic intracranial hypertension, cerebral venous sinus thrombosis, or intracranial cyst and underwent ONSF surgery to prevent visual loss were evaluated. Pre- and postoperative visual acuity, optic disc images, and visual field findings were reviewed.Results:The mean age of the patients was 30.4±8.5 years, and 88.2% were female. The patients’ mean body mass index was 28.67±6.1 kg/m2. The mean follow-up time was 24±12.1 months (range: 3-44). At postoperative 3 months, the mean best-corrected distance visual acuity had improved in 20 eyes (83.3%) and stabilized in 4 eyes (16.7%) compared to preoperative values. In visual field mean deviation, an improvement was observed in 10 eyes (90.9%), while 1 eye (9.1%) eye remained stable. Optic disc edema decreased in all patients.Conclusion:This study indicates that ONSF has beneficial effects on visual function in patients with rapidly progressive visual loss caused by increased intracranial pressure. http://www.oftalmoloji.org/archives/archive-detail/article-preview/efficacy-of-optic-nerve-sheath-fenestration-in-pat/58679 idiopathic intracranial hypertensionoptic nerve sheath fenestrationpseudotumor cerebrivisual field |
| spellingShingle | Sait Coşkun Özcan Nedime Deveci Deniz Özarslan Özcan Feyza Önder Efficacy of Optic Nerve Sheath Fenestration in Patients with Increased Intracranial Pressure Türk Oftalmoloji Dergisi idiopathic intracranial hypertension optic nerve sheath fenestration pseudotumor cerebri visual field |
| title | Efficacy of Optic Nerve Sheath Fenestration in Patients with Increased Intracranial Pressure |
| title_full | Efficacy of Optic Nerve Sheath Fenestration in Patients with Increased Intracranial Pressure |
| title_fullStr | Efficacy of Optic Nerve Sheath Fenestration in Patients with Increased Intracranial Pressure |
| title_full_unstemmed | Efficacy of Optic Nerve Sheath Fenestration in Patients with Increased Intracranial Pressure |
| title_short | Efficacy of Optic Nerve Sheath Fenestration in Patients with Increased Intracranial Pressure |
| title_sort | efficacy of optic nerve sheath fenestration in patients with increased intracranial pressure |
| topic | idiopathic intracranial hypertension optic nerve sheath fenestration pseudotumor cerebri visual field |
| url |
http://www.oftalmoloji.org/archives/archive-detail/article-preview/efficacy-of-optic-nerve-sheath-fenestration-in-pat/58679
|
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