Optic nerve decompression in fibrous dysplasia: Indications, efficacy, and safety

Yu Ray Chen*, Alan Breidahl, Chen Nen Chang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

100 Scopus citations

Abstract

Optic nerve decompression is controversial in posttraumatic visual loss and as a prophylactic therapy in fibrous dysplasia involving the optic canal. It is less controversial for the treatment of optic nerve compression in fibrous dysplasia. Thirteen patients with craniomaxillofacial fibrous dysplasia who underwent 16 optic nerve decompressions at the Chang Gung Craniofacial Centre for both therapeutic (10) and prophylactic (6) indications are reported. One patient sustained a clinically useful improvement in vision in response to two therapeutic decompressions, and another demonstrated marked improvement after therapeutic decompression, with visual acuity improving from 0.4 to 1.0 in the affected eye. No patient underwent a permanent deterioration of vision as a result of either therapeutic or prophylactic decompression. One patient suffered extraocular muscle dysfunction that was corrected with strabismus surgery. A review of the literature clarifies the controversies and allows establishment of indications for optic nerve decompression.

Original languageEnglish
Pages (from-to)22-33
Number of pages12
JournalPlastic and Reconstructive Surgery
Volume99
Issue number1
DOIs
StatePublished - 01 1997
Externally publishedYes

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