Optic nerve sheath decompression for progressive central retinal vein occlusion.

Journal Article (Journal Article)

OBJECTIVE: To review our results with optic nerve sheath decompression (ONSD) for progressive central retinal vein occlusions (CRVO). METHODS: Patients selected all had evidence of progressively worsening CRVO, a component of optic nerve swelling, and most were already monocular from prior disease in the contralateral eye. ONSD was performed using a nasal approach under retrobulbar anesthesia. RESULTS: Eight eyes from 8 patients with a mean follow-up of 12 months were analyzed. Six patients improved, 2 worsened. Mean preoperative visual acuity was 20/160, and mean final postoperative visual acuity was 20/70. No complications occurred. Nonischemic CRVOs, patients < 65 years old, and those undergoing ONSD within 3 months of presentation seemed to do better. CONCLUSION: ONSD may improve vision or stabilize visual loss in patients with progressive CRVO.

Full Text

Duke Authors

Cited Authors

  • Dev, S; Buckley, EG

Published Date

  • March 1999

Published In

Volume / Issue

  • 30 / 3

Start / End Page

  • 181 - 184

PubMed ID

  • 10100250

International Standard Serial Number (ISSN)

  • 1082-3069


  • eng

Conference Location

  • United States