[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.211.148.181. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
August 1990

Extracranial Optic Nerve Decompression for Traumatic Optic Neuropathy

Author Affiliations

From the Departments of Otology and Laryngology (Dr Joseph), Ophthalmology (Drs Lessell and Rizzo), and Radiology (Dr Momose), Harvard Medical School and Massachusetts Eye and Ear Infirmary; and Department of Radiology, Massachusetts General Hospital (Dr Momose), Boston.

Arch Ophthalmol. 1990;108(8):1091-1093. doi:10.1001/archopht.1990.01070100047032
Abstract

• We examined 14 patients with acute, unilateral optic nerve injury after blunt head trauma. In each patient the optic canal was decompressed through an ipsilateral external ethmoidectomy. The patients also received treatment with dexamethasone during the perioperative period. There was no morbidity or mortality. Eleven of the 14 patients improved, including 3 of the 5 who could not perceive light preoperatively. Transethmoid-sphenoid optic canal decompression is a safe and effective treatment for indirect optic nerve trauma.

×