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Marcelo Caram R. Fernandes, Andre M. Messias, Maria Lucia H. Simao; Optic Nerve Fenestration In Idiopathic Intracranial Hypertension. Invest. Ophthalmol. Vis. Sci. 2012;53(14):4894.
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This article shows a follow up of 4 patients that went through Optic Nerve Fenestration because of Idiopathic Intracranial Hypertension. It proposes to analyze the outcome of this new brand on the disease’s management.
The patients were followed by Optic Nerve Thickness on OCT, Visual Fields (MD) and Visual Acuity with correction.
Only one of the four patients showed little or no response to the surgery and the neurology team of the Hospital considered that the symptoms were not caused by Idiopathic Intracranial Hypertension (patient 4). One of the patients had to be reoperated, undergoing surgery on the other eye (patient 3).
There is still no concluding data, but it appears that the Optic Nerve Fenestration is a valid method to manage both progression and symptoms of Idiopathic Intracranial Hypertension. That doesn’t seem to be true in cases of Intracranial Hypertension with an underlying cause, as shown by the results of patient’s 4 follow up.
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