Endoscopic optic nerve decompression for traumatic blindness

Stilianos E Kountakis, Alberto A.J. Maillard, Sherif M. El-Harazi, Luca Longhini, Richard G. Urso

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

OBJECTIVES: The goal of this study was to compare the outcome of patients with traumatic optic neuropathy (TON) treated with high-dose steroids with the outcome of patients with TON treated with endoscopic optic nerve decompression (EOND) after failing high-dose steroid treatment. METHODS: During this retrospective review of patients with TON seen from 1994 to 1998, all patients were first treated with megadose methylprednisolone for 48 hours. Patients with no improvement or with worsening visual acuity were offered EOND. RESULTS: Eleven of 34 (32%) patients treated with high-dose steroids showed improvement, and 23 (68%) did not. Seventeen of the 23 patients without improvement after high-dose steroid treatment underwent EOND. Fourteen of 17 (82%) surgically treated patients had improved visual acuity, and 3 (18%) did not, with an overall improvement in 25 of 34 (74%) patients (χ 2 = 11.338, P = 0.0007). CONCLUSION: EOND is an appropriate treatment technique for patients with TON in whom high-dose steroid treatment has failed.

Original languageEnglish (US)
Pages (from-to)34-37
Number of pages4
JournalOtolaryngology - Head and Neck Surgery
Volume123
Issue number1
DOIs
StatePublished - Jan 1 2000
Externally publishedYes

Fingerprint

Blindness
Optic Nerve
Decompression
Optic Nerve Injuries
Steroids
Visual Acuity
Methylprednisolone
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Endoscopic optic nerve decompression for traumatic blindness. / Kountakis, Stilianos E; Maillard, Alberto A.J.; El-Harazi, Sherif M.; Longhini, Luca; Urso, Richard G.

In: Otolaryngology - Head and Neck Surgery, Vol. 123, No. 1, 01.01.2000, p. 34-37.

Research output: Contribution to journalArticle

Kountakis, Stilianos E ; Maillard, Alberto A.J. ; El-Harazi, Sherif M. ; Longhini, Luca ; Urso, Richard G. / Endoscopic optic nerve decompression for traumatic blindness. In: Otolaryngology - Head and Neck Surgery. 2000 ; Vol. 123, No. 1. pp. 34-37.
@article{e15024ef5aa045bbad2e034260edfaca,
title = "Endoscopic optic nerve decompression for traumatic blindness",
abstract = "OBJECTIVES: The goal of this study was to compare the outcome of patients with traumatic optic neuropathy (TON) treated with high-dose steroids with the outcome of patients with TON treated with endoscopic optic nerve decompression (EOND) after failing high-dose steroid treatment. METHODS: During this retrospective review of patients with TON seen from 1994 to 1998, all patients were first treated with megadose methylprednisolone for 48 hours. Patients with no improvement or with worsening visual acuity were offered EOND. RESULTS: Eleven of 34 (32{\%}) patients treated with high-dose steroids showed improvement, and 23 (68{\%}) did not. Seventeen of the 23 patients without improvement after high-dose steroid treatment underwent EOND. Fourteen of 17 (82{\%}) surgically treated patients had improved visual acuity, and 3 (18{\%}) did not, with an overall improvement in 25 of 34 (74{\%}) patients (χ 2 = 11.338, P = 0.0007). CONCLUSION: EOND is an appropriate treatment technique for patients with TON in whom high-dose steroid treatment has failed.",
author = "Kountakis, {Stilianos E} and Maillard, {Alberto A.J.} and El-Harazi, {Sherif M.} and Luca Longhini and Urso, {Richard G.}",
year = "2000",
month = "1",
day = "1",
doi = "10.1067/mhn.2000.106007",
language = "English (US)",
volume = "123",
pages = "34--37",
journal = "Otolaryngology - Head and Neck Surgery (United States)",
issn = "0194-5998",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Endoscopic optic nerve decompression for traumatic blindness

AU - Kountakis, Stilianos E

AU - Maillard, Alberto A.J.

AU - El-Harazi, Sherif M.

AU - Longhini, Luca

AU - Urso, Richard G.

PY - 2000/1/1

Y1 - 2000/1/1

N2 - OBJECTIVES: The goal of this study was to compare the outcome of patients with traumatic optic neuropathy (TON) treated with high-dose steroids with the outcome of patients with TON treated with endoscopic optic nerve decompression (EOND) after failing high-dose steroid treatment. METHODS: During this retrospective review of patients with TON seen from 1994 to 1998, all patients were first treated with megadose methylprednisolone for 48 hours. Patients with no improvement or with worsening visual acuity were offered EOND. RESULTS: Eleven of 34 (32%) patients treated with high-dose steroids showed improvement, and 23 (68%) did not. Seventeen of the 23 patients without improvement after high-dose steroid treatment underwent EOND. Fourteen of 17 (82%) surgically treated patients had improved visual acuity, and 3 (18%) did not, with an overall improvement in 25 of 34 (74%) patients (χ 2 = 11.338, P = 0.0007). CONCLUSION: EOND is an appropriate treatment technique for patients with TON in whom high-dose steroid treatment has failed.

AB - OBJECTIVES: The goal of this study was to compare the outcome of patients with traumatic optic neuropathy (TON) treated with high-dose steroids with the outcome of patients with TON treated with endoscopic optic nerve decompression (EOND) after failing high-dose steroid treatment. METHODS: During this retrospective review of patients with TON seen from 1994 to 1998, all patients were first treated with megadose methylprednisolone for 48 hours. Patients with no improvement or with worsening visual acuity were offered EOND. RESULTS: Eleven of 34 (32%) patients treated with high-dose steroids showed improvement, and 23 (68%) did not. Seventeen of the 23 patients without improvement after high-dose steroid treatment underwent EOND. Fourteen of 17 (82%) surgically treated patients had improved visual acuity, and 3 (18%) did not, with an overall improvement in 25 of 34 (74%) patients (χ 2 = 11.338, P = 0.0007). CONCLUSION: EOND is an appropriate treatment technique for patients with TON in whom high-dose steroid treatment has failed.

UR - http://www.scopus.com/inward/record.url?scp=0033928901&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033928901&partnerID=8YFLogxK

U2 - 10.1067/mhn.2000.106007

DO - 10.1067/mhn.2000.106007

M3 - Article

VL - 123

SP - 34

EP - 37

JO - Otolaryngology - Head and Neck Surgery (United States)

JF - Otolaryngology - Head and Neck Surgery (United States)

SN - 0194-5998

IS - 1

ER -