Optic nerve sheath decompression for glaucomatous optic neuropathy with normal intraocular pressure

M. B. Wax, D. A. Barrett, W. M. Hart, P. L. Custer

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: To report our therapeutic experience with optic nerve sheath decompression in patients with normal-pressure glaucoma. Design: A case series of seven eyes from six patients with glaucoma and normal intraocular pressures who continued to have progressive visual field loss despite conventional therapy. Setting: A hospital-based, referral glaucoma service. Patients: Three men (67, 67, and 72 years of age) and three women (58, 61, and 70 years of age). Interventions: Optic nerve sheath decompression. Main Outcome Measures: Visual field data and visual acuity measurements were obtained at regular intervals during the postoperative periods (range, 3 to 18 months). Results: Two of seven eyes from six patients appear to have enjoyed an initial significant improvement in their visual fields with improved visual acuity in one eye of one patient. The visual fields, however, appear to have deteriorated 18 months after the initial procedure in these two patients. In the remaining four patients, no further improvement or deterioration was observed within a limited follow-up period. Conclusions: The transient improvement in the visual fields of one eye from each of two patients documents an initial successful use of optic nerve sheath decompression in patients with nerve fiber bundle damage in the absence of optic nerve head swelling. However, the long-term potential of optic nerve sheath decompression in these patients may be of limited value.

Original languageEnglish (US)
Pages (from-to)1219-1228
Number of pages10
JournalArchives of Ophthalmology
Volume111
Issue number9
StatePublished - 1993

Fingerprint

Optic Nerve Diseases
Optic Nerve
Decompression
Intraocular Pressure
Visual Fields
Glaucoma
Visual Acuity
Optic Disk
Nerve Fibers
Postoperative Period
Referral and Consultation
Outcome Assessment (Health Care)
Pressure

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Wax, M. B., Barrett, D. A., Hart, W. M., & Custer, P. L. (1993). Optic nerve sheath decompression for glaucomatous optic neuropathy with normal intraocular pressure. Archives of Ophthalmology, 111(9), 1219-1228.

Optic nerve sheath decompression for glaucomatous optic neuropathy with normal intraocular pressure. / Wax, M. B.; Barrett, D. A.; Hart, W. M.; Custer, P. L.

In: Archives of Ophthalmology, Vol. 111, No. 9, 1993, p. 1219-1228.

Research output: Contribution to journalArticle

Wax, MB, Barrett, DA, Hart, WM & Custer, PL 1993, 'Optic nerve sheath decompression for glaucomatous optic neuropathy with normal intraocular pressure', Archives of Ophthalmology, vol. 111, no. 9, pp. 1219-1228.
Wax, M. B. ; Barrett, D. A. ; Hart, W. M. ; Custer, P. L. / Optic nerve sheath decompression for glaucomatous optic neuropathy with normal intraocular pressure. In: Archives of Ophthalmology. 1993 ; Vol. 111, No. 9. pp. 1219-1228.
@article{2040b7c502b44583ba9a6597d5ac8e79,
title = "Optic nerve sheath decompression for glaucomatous optic neuropathy with normal intraocular pressure",
abstract = "Objective: To report our therapeutic experience with optic nerve sheath decompression in patients with normal-pressure glaucoma. Design: A case series of seven eyes from six patients with glaucoma and normal intraocular pressures who continued to have progressive visual field loss despite conventional therapy. Setting: A hospital-based, referral glaucoma service. Patients: Three men (67, 67, and 72 years of age) and three women (58, 61, and 70 years of age). Interventions: Optic nerve sheath decompression. Main Outcome Measures: Visual field data and visual acuity measurements were obtained at regular intervals during the postoperative periods (range, 3 to 18 months). Results: Two of seven eyes from six patients appear to have enjoyed an initial significant improvement in their visual fields with improved visual acuity in one eye of one patient. The visual fields, however, appear to have deteriorated 18 months after the initial procedure in these two patients. In the remaining four patients, no further improvement or deterioration was observed within a limited follow-up period. Conclusions: The transient improvement in the visual fields of one eye from each of two patients documents an initial successful use of optic nerve sheath decompression in patients with nerve fiber bundle damage in the absence of optic nerve head swelling. However, the long-term potential of optic nerve sheath decompression in these patients may be of limited value.",
author = "Wax, {M. B.} and Barrett, {D. A.} and Hart, {W. M.} and Custer, {P. L.}",
year = "1993",
language = "English (US)",
volume = "111",
pages = "1219--1228",
journal = "JAMA Ophthalmology",
issn = "2168-6165",
publisher = "American Medical Association",
number = "9",

}

TY - JOUR

T1 - Optic nerve sheath decompression for glaucomatous optic neuropathy with normal intraocular pressure

AU - Wax, M. B.

AU - Barrett, D. A.

AU - Hart, W. M.

AU - Custer, P. L.

PY - 1993

Y1 - 1993

N2 - Objective: To report our therapeutic experience with optic nerve sheath decompression in patients with normal-pressure glaucoma. Design: A case series of seven eyes from six patients with glaucoma and normal intraocular pressures who continued to have progressive visual field loss despite conventional therapy. Setting: A hospital-based, referral glaucoma service. Patients: Three men (67, 67, and 72 years of age) and three women (58, 61, and 70 years of age). Interventions: Optic nerve sheath decompression. Main Outcome Measures: Visual field data and visual acuity measurements were obtained at regular intervals during the postoperative periods (range, 3 to 18 months). Results: Two of seven eyes from six patients appear to have enjoyed an initial significant improvement in their visual fields with improved visual acuity in one eye of one patient. The visual fields, however, appear to have deteriorated 18 months after the initial procedure in these two patients. In the remaining four patients, no further improvement or deterioration was observed within a limited follow-up period. Conclusions: The transient improvement in the visual fields of one eye from each of two patients documents an initial successful use of optic nerve sheath decompression in patients with nerve fiber bundle damage in the absence of optic nerve head swelling. However, the long-term potential of optic nerve sheath decompression in these patients may be of limited value.

AB - Objective: To report our therapeutic experience with optic nerve sheath decompression in patients with normal-pressure glaucoma. Design: A case series of seven eyes from six patients with glaucoma and normal intraocular pressures who continued to have progressive visual field loss despite conventional therapy. Setting: A hospital-based, referral glaucoma service. Patients: Three men (67, 67, and 72 years of age) and three women (58, 61, and 70 years of age). Interventions: Optic nerve sheath decompression. Main Outcome Measures: Visual field data and visual acuity measurements were obtained at regular intervals during the postoperative periods (range, 3 to 18 months). Results: Two of seven eyes from six patients appear to have enjoyed an initial significant improvement in their visual fields with improved visual acuity in one eye of one patient. The visual fields, however, appear to have deteriorated 18 months after the initial procedure in these two patients. In the remaining four patients, no further improvement or deterioration was observed within a limited follow-up period. Conclusions: The transient improvement in the visual fields of one eye from each of two patients documents an initial successful use of optic nerve sheath decompression in patients with nerve fiber bundle damage in the absence of optic nerve head swelling. However, the long-term potential of optic nerve sheath decompression in these patients may be of limited value.

UR - http://www.scopus.com/inward/record.url?scp=0027321788&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027321788&partnerID=8YFLogxK

M3 - Article

VL - 111

SP - 1219

EP - 1228

JO - JAMA Ophthalmology

JF - JAMA Ophthalmology

SN - 2168-6165

IS - 9

ER -