Optic Nerve Sheath Fenestration

It is a surgical procedure that helps relieve pressure from the subarachnoid space in case of increased intracranial pressure. It is also known as optic nerve sheath decompression. Complications of this surgical procedure include diplopia, sudden loss of vision, and orbital hemorrhage.

  
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My sister is not regaining eyesight post-surgery. Why?

Query: Hello doctor,My sister suffered intracranial hypertension six months back and she became blind a few weeks after. A lot was done (lumbar puncture, etc.) to bring back her vision but in vain. Recently she has had VP shunt surgery and there is another plan to do optic nerve sheath fenestration. I woul...  Read Full »


Answer: Hi, Welcome to icliniq.com. I have seen the scans and the VEP (visual evoked potential) report you have sent (attachment removed to protect patient identity). In theOCT(optical coherence tomography) the optic nerve heads do seem bulged out. Was an MRI done? VP (ventriculoperitoneal) shunt surgery ...  Read Full »

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