Vol.95 No.3 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 95 No. 3 March 2002
Surgical Treatment of Optic Nerve Decompression for
Traumatic Optic Nerve Injury
Toyota Ishii, Mitsukuni Nitta and Takako Nakayama
(National Sagamihara Hospital)
We treated a 61-year-old male with impaired left visual acuity due to optic canal fracture. The optic nerve was decompressed by the endoscopic endonasal approach. The patient had restored normal visual acuity a few days after surgery. Observation of the sphenoid sinus by fiberscope is thought to be very helpful and essential for diagnosis. Optic nerve decompression with corticosteroid pulse therapy should be performed as soon as possible after injury.
Key words : optic nerve injury, optic canal decompression, steroid pulse treatment