Immune Recovery Vitritis Associated With Inactive Cytomegalovirus Retinitis

Marietta P. Karavellas, Careen Y. Lowder, J. Christopher Macdonald, Cesar P. Avila, William R. Freeman
1998 Archives of Ophthalmology  
Objective: To evaluate the outcome of extracranial optic nerve decompression in patients with compressive optic neuropathy secondary to intracranial, paranasal sinus, or orbital neoplastic processes. Design: A retrospective chart review and clinical follow-up of patients who underwent optic nerve decompression. Setting: Tertiary care referral center. Patients: During an 8-year period, 95 extracranial optic nerve decompressions were performed by one of us (M.P.J.) for optic neuropathy resulting
more » ... uropathy resulting from traumatic, inflammatory, infectious, iatrogenic, neoplastic, and idiopathic processes. Thirty patients with compressive optic neuropathy secondary to histopathologically confirmed tumors were identified. Intervention: Optic nerve decompression via external ethmoidectomy approach. Result: Twenty (67%) of 30 patients showed improvement in vision. Improvement in 17 of the 20 patients has been stable. Seven patients (23%) showed no improvement but there was no further worsening of vision after surgery. In 3 patients (10%) vision deteriorated following surgery. Conclusion: Extracranial optic nerve decompression may be considered for the preservation or improvement of vision in selected patients with compressive optic neuropathy from neoplasms.
doi:10.1001/archopht.116.2.169 pmid:9488268 fatcat:taqdeic4mbayngq24boxv6ig2u