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April 1995

Optic Nerve Ischemia: Optic Nerve Sheath Decompression Alone or With Optic Nerve Decompression

Author Affiliations

San Francisco, Calif

Arch Ophthalmol. 1995;113(4):406-407. doi:10.1001/archopht.1995.01100040020011

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I am interested in the article by Wax et al1 published in the September 1993 issue of the Archives. Wax et al report, "The use of ONSD [optic nerve sheath decompression] in the treatment of NPG [normal pressure glaucoma] is not new. Anecdotal, provocative reports may be found in the literature," and they cite references 47 and 48. Reference 48 correctly refers to the work of Mikhail Krasnov, MD, Director of the Eye Institute of the USSR.2 Reference 47, credited to me, is erroneous. My work is published as "Microsurgery of the Posterior Pole for Low Tension Glaucoma and Other Forms of Arterial Ischemia of the Optic Nerve."3 This material was presented at the 23rd International Congress of Ophthalmology (Kyoto, Japan) in 1978.

This is the first surgery ever devised for optic nerve ischemia. Three more extensive papers,4-6 one presented at the 1979 American Academy of

Wax MB, Barrett DA, Hart WM Jr, Custer PL.  Optic nerve sheath decompression for glaucomatous optic neuropathy with normal intraocular pressure . Arch Ophthalmol . 1993;111:1219-1228.Article
Krasnov MM. Decompressive surgery on optic nerve in glaucoma-action on impeded intraocular blood perfusion. Presented at the International Glaucoma Symposium; August 1992; Jerusalem, Israel.
Beale JP.  Microsurgery of the posterior pole for low tension glaucoma and other forms of arterial ischemia of the optic nerve . In: Acta XXIII of the International Congress of Ophthalmology, Kyoto, Japan . Amsterdam, the Netherlands: Excerpta Medica; 1978;2:1509-1511.
Beale JP. Microsurgical decompression for low tension glaucoma: a new procedure. Presented at the American Academy of Ophthalmology Annual Meeting; November 1979; San Francisco, Calif.
Beale JP. Optic nerve decompression for low tension glaucoma: does it work? Presented at the International Glaucoma Congress; January 1979; Las Vegas, Nev.
Beale JP. Microsurgery of the optic nerve for low tension glaucoma. Presented at Symposium Microchirugia Ophthalmologica; October 1979; Rome, Italy.
Vasco-Posada J.  Revascularisacion del segmento anterior y posterior del ojo . In: Acta XXI Concilium Opthalmologicum, D.F., Mexico . Amsterdam, the Netherlands: Excerpta Medica; 1970;2:1561.