eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Trauma

Optic Nerve Decompression for Traumatic Optic Neuropathy: Multimedia

Author: Erin Kathleen O'Brien, MD, Fellow, Rhinology and Chemosensory Disorders, Department of Otolaryngology, University of Nebraska Medical Center
Coauthor(s): Donald Leopold, MD, Clinical Professor; Department of Medicine, Professor and Chair, Department of Otolaryngology-Head and Neck Surgery, University of Nebraska Medical Center; James W Gigantelli, MD, Professor of Ophthalmology, Assistant Dean of Government Relations, University of Nebraska Medical Center; Michel Siegel, MD, Staff Physician, Department of Otolaryngology-Head and Neck Surgery, University of Nebraska Medical Center
Contributor Information and Disclosures

Updated: Mar 14, 2008

Multimedia

Endoscopic view of the intranasal anatomy: (1) la...
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Media file 1: Endoscopic view of the intranasal anatomy: (1) lateral nasal wall, (2) middle turbinate, and (3) nasal septum.
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Endoscopic view of the intranasal anatomy: (1) la...

Endoscopic view of the intranasal anatomy: (1) lateral nasal wall, (2) middle turbinate, and (3) nasal septum.

Endoscopic view after intranasal ethmoidectomy. T...
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Media file 2: Endoscopic view after intranasal ethmoidectomy. The ethmoid air cells have been removed, exposing the orbit. The black line delineates an intact orbit prior to decompression.
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Endoscopic view after intranasal ethmoidectomy. T...

Endoscopic view after intranasal ethmoidectomy. The ethmoid air cells have been removed, exposing the orbit. The black line delineates an intact orbit prior to decompression.

The first step in orbital decompression is depict...
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Media file 3: The first step in orbital decompression is depicted in this endoscopic view of the right eye. A curette can be observed. The surgeon is removing the thin bone covering the orbit (the lamina papyracea of the right orbit).
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The first step in orbital decompression is depict...

The first step in orbital decompression is depicted in this endoscopic view of the right eye. A curette can be observed. The surgeon is removing the thin bone covering the orbit (the lamina papyracea of the right orbit).

This image depicts exposure of the orbital conten...
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Media file 4: This image depicts exposure of the orbital contents as the lamina papyracea is removed. The arrow points to the orbit without its bony coverage.
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This image depicts exposure of the orbital conten...

This image depicts exposure of the orbital contents as the lamina papyracea is removed. The arrow points to the orbit without its bony coverage.

The next step in orbital decompression is depicte...
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Media file 5: The next step in orbital decompression is depicted. After the lamina papyracea is removed, a sickle knife is used to incise the orbital periosteum to allow the orbit to herniate into the sinuses, thus reducing orbital pressure. The black line highlights the limits of the orbit.
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The next step in orbital decompression is depicte...

The next step in orbital decompression is depicted. After the lamina papyracea is removed, a sickle knife is used to incise the orbital periosteum to allow the orbit to herniate into the sinuses, thus reducing orbital pressure. The black line highlights the limits of the orbit.

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Media file 6:
This image represents the successful decompressio...
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Media file 7: This image represents the successful decompression of the orbit. The periorbital fat that encases the orbit can be seen herniating into the intranasal cavity (1). This procedure reduces the intraorbital pressure.
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This image represents the successful decompressio...

This image represents the successful decompression of the orbit. The periorbital fat that encases the orbit can be seen herniating into the intranasal cavity (1). This procedure reduces the intraorbital pressure.

More on Optic Nerve Decompression for Traumatic Optic Neuropathy

Overview: Optic Nerve Decompression for Traumatic Optic Neuropathy
Workup: Optic Nerve Decompression for Traumatic Optic Neuropathy
Treatment: Optic Nerve Decompression for Traumatic Optic Neuropathy
Follow-up: Optic Nerve Decompression for Traumatic Optic Neuropathy
Multimedia: Optic Nerve Decompression for Traumatic Optic Neuropathy
References
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References

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  4. Entezari M, Rajavi Z, Sedighi N, Daftarian N, Sanagoo M. High-dose intravenous methylprednisolone in recent traumatic optic neuropathy; a randomized double-masked placebo-controlled clinical trial. Graefes Arch Clin Exp Ophthalmol. Sep 2007;245(9):1267-71. [Medline].

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Further Reading

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Keywords

optic nerve decompression for traumatic optic neuropathy, eye decompression, eye injury, traumatic optic neuropathy, TON, closed head injury, subnormal visual acuity, visual field loss, vision loss, color vision dysfunction, optic neuropathy, afferent pupillary defect, optic canal decompression, transcranial unroofing of the optic canal, lamina papyracea, optic nerve dysfunction, optic nerve decompression, OND, orbital decompression, orbital decompression for traumatic optic neuropathy, surgical decompression, optic nerve, indirect traumatic optic neuropathy, direct traumatic optic neuropathy, optic nerve decompression

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Contributor Information and Disclosures

Author

Erin Kathleen O'Brien, MD, Fellow, Rhinology and Chemosensory Disorders, Department of Otolaryngology, University of Nebraska Medical Center
Erin Kathleen O'Brien, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery and American Rhinologic Society
Disclosure: Nothing to disclose.

Coauthor(s)

Donald Leopold, MD, Clinical Professor; Department of Medicine, Professor and Chair, Department of Otolaryngology-Head and Neck Surgery, University of Nebraska Medical Center
Donald Leopold, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and American Rhinologic Society
Disclosure: Medtronic Consulting fee Consulting

James W Gigantelli, MD, Professor of Ophthalmology, Assistant Dean of Government Relations, University of Nebraska Medical Center
James W Gigantelli, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, American Society of Ophthalmic Plastic and Reconstructive Surgery, and Association for Research in Vision and Ophthalmology
Disclosure: Nothing to disclose.

Michel Siegel, MD, Staff Physician, Department of Otolaryngology-Head and Neck Surgery, University of Nebraska Medical Center
Michel Siegel, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngic Allergy, American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, and American Rhinologic Society
Disclosure: Nothing to disclose.

Medical Editor

M Abraham Kuriakose, MD, DDS, FRCS, Chairman, Head and Neck Institute, Amrita Institute of Medical Sciences
M Abraham Kuriakose, MD, DDS, FRCS is a member of the following medical societies: American Association for Cancer Research, American Head and Neck Society, British Association of Oral and Maxillofacial Surgeons, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Dominique Dorion, MD, MSc, FRCSC, Program Director and Division Chair, Professor of Surgery, Division of Otolaryngology, University of Sherbrooke, Canada
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Advanced Headache Intervention Consulting fee Consulting; Covidien Corp Consulting fee Consulting

 
 
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