Optic nerve sheath fenestration for idiopathic intracranial hypertension: A seven year review of visual outcomes in a tertiary centre

• Published in: Clinical neurology and neurosurgery Vol. 137; pp. 94 - 101
• Main Authors: Obi, Ebube E, Lakhani, Bansri K, Burns, Joyce, Sampath, Ragavan
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01-10-2015; Elsevier Limited
• Subjects: Adolescent; Adult; Body mass index; Colour vision; Decompression, Surgical - adverse effects; Female; Headache - etiology; Humans; Hypertension; Idiopathic intracranial hypertension (IIH); Male; Middle Aged; Neurology; Neurosurgery; Obesity; Optic nerve; Optic Nerve - surgery; Optic nerve sheath fenestration (ONSF); Papilloedema; Patients; Postoperative period; Pseudotumor Cerebri - surgery; Retrospective Studies; Visual acuity; Visual Acuity - physiology; Visual fields; Visual Fields - physiology; Young Adult; Optic nerve sheath fenestration (ONSF); Body mass index; Papilloedema; Visual acuity; Visual fields; Idiopathic intracranial hypertension (IIH); Colour vision
• ISSN: 0303-8467; 1872-6968
• DOI: 10.1016/j.clineuro.2015.05.020

Highlights • We examined the results ONSF in patients with IIH and declining visual function (VFn). • ONSF is a very safe procedure in experienced hands – 0% morbidity. • Early ONSF prevented further VFn decline in 82.1% of patients. • Visual improvement or stabilisation was not dependent on the body mass index. • Colour vision is a useful monitoring tool before VFn decline, ensues.