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June 1986

Restoration of Vision After Optic Canal Decompression

Arch Ophthalmol. 1986;104(6):804-806. doi:10.1001/archopht.1986.01050180038019

To the Editor.  —A recent report by McCartney and Char1 describing return of visual function, albeit limited, after 36 hours of postoperative blindness treated with orbital decompression, prompts us to report a similar experience following intracanalicular optic nerve decompression. Herein we describe the restoration of vision in a patient with no light perception acuity after five days of unsuccessful treatment with intravenous megadose corticosteroids.

Report of a Case.  —A 28-year-old man received a stab wound through his right nostril, immediately losing vision in his right eye. Evaluation revealed no light perception acuity in the right eye and a paralysis of cranial nerves III, IV, and VI. It was presumed that the knife injured the optic nerve and oculomotor nerves at the apex with penetration of the weapon intracranially. The sole finding on computed tomographic imaging studies was pneumocephalus.The patient was treated with intravenous methylprednisolone, 250 mg every six

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