Optic nerve sheath fenestration for a reversible optic neuropathy in radiation oncology

Am J Clin Oncol. 2000 Aug;23(4):401-5. doi: 10.1097/00000421-200008000-00018.

Abstract

To the authors' knowledge, there is a paucity of published accounts of management of radiation-induced optic neuropathy (RION) by optic nerve sheath fenestration (ONSF) in the conventional medical literature. With higher doses of radiation being given by using conformal techniques, more radiation-induced optic neuritis and neuropathy will be identified. We report here the successful use of ONSF to restore vision to three consecutive patients with pending anterior RION, and the importance of early identification and intervention in these potentially reversible cases.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain Neoplasms / radiotherapy*
  • Brain Neoplasms / surgery
  • Carcinoma, Squamous Cell / drug therapy
  • Carcinoma, Squamous Cell / radiotherapy
  • Female
  • Frontal Lobe / radiation effects
  • Frontal Lobe / surgery
  • Glioblastoma / radiotherapy
  • Glioblastoma / surgery
  • Humans
  • Male
  • Neurilemma
  • Oligodendroglioma / radiotherapy
  • Oligodendroglioma / surgery
  • Optic Nerve / surgery*
  • Optic Nerve Diseases / etiology
  • Optic Nerve Diseases / surgery*
  • Optic Neuritis / etiology
  • Optic Neuritis / surgery
  • Radiation Injuries / etiology
  • Radiation Injuries / surgery*
  • Radiotherapy Dosage
  • Radiotherapy, Conformal / adverse effects*
  • Skull Neoplasms / drug therapy
  • Skull Neoplasms / radiotherapy
  • Temporal Lobe / radiation effects
  • Temporal Lobe / surgery
  • Vision, Ocular / physiology
  • Visual Acuity / radiation effects