January 08, 2003
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Delayed optic nerve decompression useful in optic nerve injury

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NEW DELHI, India — Optic nerve decompression is useful as a salvage procedure in patients with traumatic optic neuropathy that does not respond to steroid therapy, according to a study.

Alok Thakar, MS, FRCSed, and colleagues at the All India Institute of Medical Sciences analyzed 35 patients with a median injury-to-surgery interval of 56 days. Surgery was universally unrewarding in all cases (9 patients) with persistent and complete blindness of greater than 2 weeks and no response to steroid therapy. Of the 26 eyes with some residual vision, 20 improved. Length of time from injury to surgery did not have a significant effect on visual outcome, the authors reported.

The study is published in the January issue of The Laryngoscope.