[Indications and technique of optic nerve sheath fenestration]

(Indikation und Technik der Optikusscheidenfensterung.)

Full Abstract

An optic nerve sheath fenestration is indicated when papilloedema leads to progressive visual loss despite previous, conservative measures and when no cause of increased intracranial pressure can be indentified and eliminated. This rather rare constellation usually occurs in idiopathic intracranial hypertension. The procedure is performed via a medial transconjunctival orbitotomy. If headaches and neurologic symptoms other than visual deterioration prevail, the placement of a ventricular shunt is preferred. This review covers the symptoms of idiopathic intracranial hypertension and optic nerve sheath fenestration with its technical aspects and results.

Author information

Author/s: Lagrèze, W A (WA);

Affiliation: Universitäts-Augenklinik Freiburg, Killianstrasse 5, 79106, Freiburg. wolf.lagreze(-atsign-)uniklinik-freiburg.de

Journal and publication information

Publication Type: English Abstract; Journal Article

Journal: Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft (Ophthalmologe), published in Germany. (Language: ger)

Reference: 2009-May; vol 106 (issue 5) : pp 452-6

Dates: Created 2009/06/26; Completed 2009/09/10;

PMID: 19308418, status: MEDLINE (last retrieval date: 9/10/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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