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Titolo:
Pseudotumor cerebri and optic nerve sheath decompression
Autore:
Banta, JT; Farris, BK;
Indirizzi:
Univ Oklahoma, Hlth Sci Ctr, Dean A McGee Eye Inst, Oklahoma City, OK 73104 USA Univ Oklahoma Oklahoma City OK USA 73104 nst, Oklahoma City, OK 73104 USA
Titolo Testata:
OPHTHALMOLOGY
fascicolo: 10, volume: 107, anno: 2000,
pagine: 1907 - 1912
SICI:
0161-6420(200010)107:10<1907:PCAONS>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
IDIOPATHIC INTRACRANIAL HYPERTENSION; LATERAL ORBITOTOMY APPROACH; LUMBOPERITONEAL SHUNT; VISUAL FUNCTION; FENESTRATION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Farris, BK Univ Oklahoma, Hlth Sci Ctr, Dean A McGee Eye Inst, 608 StantonL Young Blvd, Oklahoma City, OK 73104 USA Univ Oklahoma 608 Stanton L Young Blvd Oklahoma City OK USA 73104
Citazione:
J.T. Banta e B.K. Farris, "Pseudotumor cerebri and optic nerve sheath decompression", OPHTHALMOL, 107(10), 2000, pp. 1907-1912

Abstract

Objective: To determine the efficacy and safety of optic nerve sheath decompression in a large population of patients with pseudotumor cerebri with visual loss despite medical treatment and to suggest a treatment algorithm on the basis of these data. Design: Retrospective, noncomparative, interventional case series. Participants: One hundred fifty-eight eyes in 86 patients with pseudotumorcerebri. Intervention: Optic nerve sheath decompression. Main Outcome Measures: Visual acuity, visual fields, and surgical complications. Results: After optic nerve sheath decompression for pseudotumor cerebri, visual acuity stabilized or improved in 148 of 158 (94%) eyes, and visual fields stabilized or improved in 71 of 81 (88%) eyes. Surgical complications,most of which were transient and benign, were seen in 39 of 86 patients. Only one eye in one patient had permanent severe visual loss secondary to anoperative complication. Conclusions: in patients with pseudotumor cerebri with progressive visual loss despite maximum medical therapy, optic nerve sheath decompression is asafe and effective means of stabilizing visual acuity and the visual fields of those tested. Ophthalmology 2000;107:1907-1912 (C) 2000 by the American Academy of Ophthalmology.

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Documento generato il 25/11/20 alle ore 01:29:47