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September 05-06, 2019 | London, UK
7
th
International Conference on
2
nd
International Conference on
Otolaryngology: ENT Surgery
Dental Health and Oral Hygiene
Joint Event
&
Otolaryngology Online Journal | ISSN: 2250-0359 | Volume 9
Can Rhinologist contribute to visual loss management?
Ashok K Gupta
PGIMER, India
It is a prospective study wherein all the cases of vision
loss secondary to skull base lesions and the lesions
affecting optic nerve causing vision loss were included.
The causes were traumatic optic neuropathy, idiopathic
intracranial hypertension, pituitary tumors, angiofibromas,
esthesioneuroblastomas and dysthyroid optic neuropathy.
The management of these cases by surgical means optic
nerve decompression, optic nerve fenestration, the medical
management including the role of stem cell therapy is
discussed.
Materials and methods:
A total of 234 cases of visual
loss secondary to above causes were included and the
management in the form of surgical endonasal endoscopic
optic nerve fenestration, optic nerve decompression in
addition to management of the primary lesion was done.
The monitoring was done using visual acuity, Visual evoked
potential, fungus parameters.
Results:
The visual improvement varied depending upon the
etiology and the duration of visual loss. The vision improved in
71.4% of the cases in trauma cases wherein the presentation
was early. In 97.4% of IIH cases, the vision improved.
Conclusions:
Early intervention and appropriate intervention
does result in significant visual improvement.
e
:
drashokpgi@hotmail.comOtolaryngology online
Volume: 9