Skip to main content
NCBI home page
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1995 Feb;79(2):182–185. doi: 10.1136/bjo.79.2.182

Histopathological and ultrastructural examination of optic nerve sheath decompression.

J C Tsai 1, M S Petrovich 1, A A Sadun 1
PMCID: PMC505054  PMID: 7696243

Abstract

Both optic nerves were obtained at autopsy from a 28-year-old man with a 2 year history of idiopathic intracranial hypertension who had undergone bilateral optic nerve sheath decompression 14 days before death. Histopathological and ultrastructural examination of the tissue revealed fibroblasts localised to the sites of fenestration. Adipose tissue was also adherent to the optic nerve pia in areas of incised dura. No patent fistula site was observed. It was concluded that filtration of cerebrospinal fluid after optic nerve sheath decompression may occur through an enclosed bleb of fibrosis rather than through an open fistula.

Full text

PDF
182

Images in this article

182Image
on p.182
183Image
on p.183
184Image
on p.184

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brourman N. D., Spoor T. C., Ramocki J. M. Optic nerve sheath decompression for pseudotumor cerebri. Arch Ophthalmol. 1988 Oct;106(10):1378–1383. doi: 10.1001/archopht.1988.01060140542020. [DOI] [PubMed] [Google Scholar]
  2. Corbett J. J., Nerad J. A., Tse D. T., Anderson R. L. Results of optic nerve sheath fenestration for pseudotumor cerebri. The lateral orbitotomy approach. Arch Ophthalmol. 1988 Oct;106(10):1391–1397. doi: 10.1001/archopht.1988.01060140555022. [DOI] [PubMed] [Google Scholar]
  3. Davidson S. I. A surgical approach to plerocephalic disc oedema. Trans Ophthalmol Soc U K. 1970;89:669–690. [PubMed] [Google Scholar]
  4. Galbraith J. E., Sullivan J. H. Decompression of the perioptic meninges for relief of papilledema. Am J Ophthalmol. 1973 Nov;76(5):687–692. doi: 10.1016/0002-9394(73)90564-3. [DOI] [PubMed] [Google Scholar]
  5. Hayreh S. S. Pathogenesis of oedema of the optic disc. Doc Ophthalmol. 1968;24(2):289–411. doi: 10.1007/BF02550944. [DOI] [PubMed] [Google Scholar]
  6. Keltner J. L., Albert D. M., Lubow M., Fritsch E., Davey L. M. Optic nerve decompression. A clinical pathologic study. Arch Ophthalmol. 1977 Jan;95(1):97–104. doi: 10.1001/archopht.1977.04450010097009. [DOI] [PubMed] [Google Scholar]
  7. Keltner J. L. Optic nerve sheath decompression. How does it work? Has its time come? Arch Ophthalmol. 1988 Oct;106(10):1365–1369. doi: 10.1001/archopht.1988.01060140529018. [DOI] [PubMed] [Google Scholar]
  8. Sergott R. C., Cohen M. S., Bosley T. M., Savino P. J. Optic nerve decompression may improve the progressive form of nonarteritic ischemic optic neuropathy. Arch Ophthalmol. 1989 Dec;107(12):1743–1754. doi: 10.1001/archopht.1989.01070020825022. [DOI] [PubMed] [Google Scholar]
  9. Sergott R. C., Savino P. J., Bosley T. M. Modified optic nerve sheath decompression provides long-term visual improvement for pseudotumor cerebri. Arch Ophthalmol. 1988 Oct;106(10):1384–1390. doi: 10.1001/archopht.1988.01060140548021. [DOI] [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES