Descompressão da bainha do nervo óptico

Monteiro, Mário Luiz Ribeiro

doi:10.5935/0004-2749.19940039

RESUMO

Este trabalho relata nossa experiência com dez pacientes (onze olhos) submetidos à descompressão da bainha do nervo óptico. Cinco eram portadores de pseudotumor cerebral, quatro neuropatia óptica isquêmica anterior, forma progressiva, e um anomalia de Morning Glory com descolamento de retina. Descrevemos a técnica cirúrgica utilizada, as principais indicações, os resultados e as complicações deste procedimento cirúrgico.

Palavras chave:
Nervo óptico; Pseudotumor cerebral; Neuropatia óptica isquêmica

SUMMARY

In this paper we describe our experience with ten patients (eleven eyes) submitted to optic nerve sheath decompression. Five had pseudotumor cerebri syndrome, four the progressive fonn of anterior isquemic optic neuropathy and one had Morning Glory anomaly associated with retinal detachment. We describe the surgical technique utilized in these patients, its main indications as well as the complications of this procedure.

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REFERÊNCIAS BIBLIOGRÁFICAS

¹
De WECKER, L. - On incision of the optic nerve in cases of neuroretinitis. Int. Ophthalmol. Congr. Rep., 4:11-14, 1872.
²
HAYREH, S.S. - Pathogenesis of oedema of the optic disc (papilloedema). A preliminary report. Br. J. Ophthalmol., 411: 522, 1964.
³
GALBRAITH, J.E.K.; SULLIVAN, J.H - Decompression of the perioptic meninges for relief of papilledema. Am. J. Ophthalmol., 76: 687-92, 1973.
⁴
CORBEIT, J.J.; NERAD, J.A.; TSE, D.T.; ANDERSON, R.L. - Results of optic nerve sheath fenestration for pseudotumor cerebri. The lateral orbitotomy approach. Arch. Ophthalmol., 106:1391-7, 1988.
⁵
SERGOTI, R.C,; SAVINO, P.J.; BOSLEY, T.M. - Modified optic nerve sheath decompression provides long-term visual improvement for pseudotumor cerebri. Arch. Ophthalmol., 106:1384-90, 1988.
⁶
BROURMAN, N.D.; SPOOR, T.C.; RAMOCKI, J.M. - Optic nerve sheath decompression for pseudotumor cerebri. Arch. Ophthalmol., 106: 1378-83, 1988.
⁷
SPOOR, T.C.; RAMOCKI, J.M.; MAADISON, M. P.; WILKINSON, M. J. - Treatment of pseudotumor cerebri by primary and secondary optic nerve sheath decompression. Am. J. Ophthalmol., 112: 177-85, 1991.
⁸
SERGOTT, R. C.; COHEN, M. S.; BOSLEY T.M.; SAVINO, P.J. - Optic nerve sheath decompression may improve the progressive form of nonarteritic ischemic optic neuropathy. Arch. Ophlhalmol., 107: 1743-54, 1989.
⁹
KLINE, L.B. - Progression of visual defects in ischemic optic neuropathy. Am. J. Ophthalmol., 106: 199-203, 1988.
¹⁰
SPOOR, T.C.; WILKINSON, M.J.; RAMOCKI, J.M. - Optic nerve sheath decompression for the treatment of progressive nonarteritic ischemic Optic neuropathy. Am. J. Ophthalmol., 111: 724-8, 1991.
¹¹
KELMAN, S.E.; ELMAN, M.J. - Optic nerve sheath decompression fornonarteritic ischemic Optic neuropathy improves multiple visual function measurementes. Arch. Ophthalmol., 109:667-71, 1991.
¹²
HAYREH, S.S. - The role of Optic nerve sheath fenestration in management of anterior ischemic Optic neuropatby. Arch. Ophthalmol., 108: 1063-4, 1990.
¹³
JABLONS, M.M.; GLASER, J. S.; SCHATZ, N.J.; SIATKOWSKI, R.M.; TSE, D.T. - Optic nerve sheath fenestration for treatment of progressive ischemic Optic neuropatby. Arch. Ophthalmol., 111:84-7, 1993.
¹⁴
WALL, M.; NEWMAN, S.A. - Optic nerve sheath decom pression for the treatment of progressive nonarteritic ischemic Optic neuropathy. Am. J. Ophthalmol., 112:741, 1991.
¹⁵
CHANG, S.; HAIK, B.G.; ELLSWORTH, R.M.; LOVIS, L.S. - Treatment of total retinal detachment in Morning Glory syndrome. Am. J. Ophthalmol., 97: 596-600, 1984.

Datas de Publicação

Publicação nesta coleção
Jun 1994

Este é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições desde que o trabalho original seja corretamente citado.

[1] ¹
De WECKER, L. - On incision of the optic nerve in cases of neuroretinitis. Int. Ophthalmol. Congr. Rep., 4:11-14, 1872.

[2] ²
HAYREH, S.S. - Pathogenesis of oedema of the optic disc (papilloedema). A preliminary report. Br. J. Ophthalmol., 411: 522, 1964.

[3] ³
GALBRAITH, J.E.K.; SULLIVAN, J.H - Decompression of the perioptic meninges for relief of papilledema. Am. J. Ophthalmol., 76: 687-92, 1973.

[4] ⁴
CORBEIT, J.J.; NERAD, J.A.; TSE, D.T.; ANDERSON, R.L. - Results of optic nerve sheath fenestration for pseudotumor cerebri. The lateral orbitotomy approach. Arch. Ophthalmol., 106:1391-7, 1988.

[5] ⁵
SERGOTI, R.C,; SAVINO, P.J.; BOSLEY, T.M. - Modified optic nerve sheath decompression provides long-term visual improvement for pseudotumor cerebri. Arch. Ophthalmol., 106:1384-90, 1988.

[6] ⁶
BROURMAN, N.D.; SPOOR, T.C.; RAMOCKI, J.M. - Optic nerve sheath decompression for pseudotumor cerebri. Arch. Ophthalmol., 106: 1378-83, 1988.

[7] ⁷
SPOOR, T.C.; RAMOCKI, J.M.; MAADISON, M. P.; WILKINSON, M. J. - Treatment of pseudotumor cerebri by primary and secondary optic nerve sheath decompression. Am. J. Ophthalmol., 112: 177-85, 1991.

[8] ⁸
SERGOTT, R. C.; COHEN, M. S.; BOSLEY T.M.; SAVINO, P.J. - Optic nerve sheath decompression may improve the progressive form of nonarteritic ischemic optic neuropathy. Arch. Ophlhalmol., 107: 1743-54, 1989.

[9] ⁹
KLINE, L.B. - Progression of visual defects in ischemic optic neuropathy. Am. J. Ophthalmol., 106: 199-203, 1988.

[10] ¹⁰
SPOOR, T.C.; WILKINSON, M.J.; RAMOCKI, J.M. - Optic nerve sheath decompression for the treatment of progressive nonarteritic ischemic Optic neuropathy. Am. J. Ophthalmol., 111: 724-8, 1991.

[11] ¹¹
KELMAN, S.E.; ELMAN, M.J. - Optic nerve sheath decompression fornonarteritic ischemic Optic neuropathy improves multiple visual function measurementes. Arch. Ophthalmol., 109:667-71, 1991.

[12] ¹²
HAYREH, S.S. - The role of Optic nerve sheath fenestration in management of anterior ischemic Optic neuropatby. Arch. Ophthalmol., 108: 1063-4, 1990.

[13] ¹³
JABLONS, M.M.; GLASER, J. S.; SCHATZ, N.J.; SIATKOWSKI, R.M.; TSE, D.T. - Optic nerve sheath fenestration for treatment of progressive ischemic Optic neuropatby. Arch. Ophthalmol., 111:84-7, 1993.

[14] ¹⁴
WALL, M.; NEWMAN, S.A. - Optic nerve sheath decom pression for the treatment of progressive nonarteritic ischemic Optic neuropathy. Am. J. Ophthalmol., 112:741, 1991.

[15] ¹⁵
CHANG, S.; HAIK, B.G.; ELLSWORTH, R.M.; LOVIS, L.S. - Treatment of total retinal detachment in Morning Glory syndrome. Am. J. Ophthalmol., 97: 596-600, 1984.

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