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Erschienen in: Spektrum der Augenheilkunde 5/2013

01.10.2013 | case report

Patient with idiopathic intracranial hypertension with progressive visual field defect underwent optic nerve sheath fenestration

verfasst von: Dr. Margarita Rebrov, MD, Dr. M. Levin, Dr. A. Klett

Erschienen in: Spektrum der Augenheilkunde | Ausgabe 5/2013

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Summary

Background

This is a case report about a patient with chronic papilledema, who was diagnosed with idiopathic intracranial hypertension (IIH) and who developed optic nerve head atrophy in the left eye and progressive visual field defect in both eyes.

Material and methods

An IIH patient with a 4-year history of chronic papilledema did not show response to the standard pharmacological treatment of acetazolamide and Solu-Medrol, and underwent optic nerve sheath fenestration (ONSF) of the left eye with atrophic nerve.

Results

After the surgery and a follow-up of 1 year, visual field defect progression in the left eye stopped. Visual acuity remained 20/20. Thus, although the chronic papilledema in the right eye was still present, vision acuity and visual field were stable.

Conclusion

ONSF should be considered as a treatment of choice for IIH in patients who do not respond to pharmacological treatment and who show progressive visual field defect.
Literatur
1.
Zurück zum Zitat Agarwal MR, Yoo JH. Optic nerve sheath fenestration for vision preservation in idiopathic intracranial hypertension. Neurosurg Focus. 2007;23(5):E7.PubMedCrossRef Agarwal MR, Yoo JH. Optic nerve sheath fenestration for vision preservation in idiopathic intracranial hypertension. Neurosurg Focus. 2007;23(5):E7.PubMedCrossRef
2.
Zurück zum Zitat Binder DK, Horton JC, Lawton MT, McDermott MW. Idiopathic intracranial hypertension. Neurosurgery. 2004;54:538–52.PubMedCrossRef Binder DK, Horton JC, Lawton MT, McDermott MW. Idiopathic intracranial hypertension. Neurosurgery. 2004;54:538–52.PubMedCrossRef
3.
Zurück zum Zitat Brazis PW. Clinical review: the surgical treatment of idiopathic pseudotumour cerebri (idiopathic intracranial hypertension). Cephalalgia. 2008;28(12):1361–73 (ISSN: 1468–2982). Brazis PW. Clinical review: the surgical treatment of idiopathic pseudotumour cerebri (idiopathic intracranial hypertension). Cephalalgia. 2008;28(12):1361–73 (ISSN: 1468–2982).
4.
Zurück zum Zitat Feldon SE. Visual outcomes comparing surgical techniques for management of severe idiopathic intracranial hypertension. Neurosurg Focus. 2007;23(5):E6 (ISSN: 1092–0684). Feldon SE. Visual outcomes comparing surgical techniques for management of severe idiopathic intracranial hypertension. Neurosurg Focus. 2007;23(5):E6 (ISSN: 1092–0684).
5.
Zurück zum Zitat Lagrèze WA. Indications and technique of optic nerve sheath fenestration. Ophthalmologe. 2009;106(5):452–6 (ISSN: 1433–0423). Lagrèze WA. Indications and technique of optic nerve sheath fenestration. Ophthalmologe. 2009;106(5):452–6 (ISSN: 1433–0423).
Metadaten
Titel
Patient with idiopathic intracranial hypertension with progressive visual field defect underwent optic nerve sheath fenestration
verfasst von
Dr. Margarita Rebrov, MD
Dr. M. Levin
Dr. A. Klett
Publikationsdatum
01.10.2013
Verlag
Springer Vienna
Erschienen in
Spektrum der Augenheilkunde / Ausgabe 5/2013
Print ISSN: 0930-4282
Elektronische ISSN: 1613-7523
DOI
https://doi.org/10.1007/s00717-013-0188-z

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