TY - JOUR
T1 - Opinion article
T2 - Neurosurgical treatment for neuro-ophthalmologic conditions
AU - Williams, Zoe R.
AU - Lee, Andrew G.
AU - Fraser, Clare L.
AU - Falardeau, Julie
AU - Subramanian, Prem S.
AU - Chen, John J.
AU - Al Othman, Bayan
AU - Dinkin, Marc J.
AU - Mollan, Susan P.
AU - Al-Zubidi, Nagham
AU - Vates, Edward
N1 - Publisher Copyright:
Copyright © 2023 Williams, Lee, Fraser, Falardeau, Subramanian, Chen, Al Othman, Dinkin, Mollan, Al-Zubidi and Vates.
PY - 2023
Y1 - 2023
N2 - A significant role of the neuro-ophthalmologist is to counsel patients on appropriate management and anticipated visual prognosis for conditions affecting the afferent and efferent visual systems, including those requiring neurosurgical treatment. However, the literature regarding anticipated neuro- ophthalmologic prognosis after neurosurgical intervention for cerebral aneurysms, sellar lesions, optic pathway tumors, and elevated intracranial pressure is limited with many key questions unanswered. For example, if a cerebral aneurysm is equally amenable to clipping or endovascular coiling, is there a preferred approach in terms of visual prognosis based on aneurysm location? Is dural venous sinus stenting (VSS) for idiopathic intracranial hypertension (IIH) superior, equivalent or inferior to shunting in terms of visual recovery and safety profile? Landmark studies on pituitary tumors using pre-operative optical coherence tomography (OCT) imaging of the optic nerve head to predict visual recovery after surgical decompression of the optic chiasm have changed neuro-ophthalmologic practice and enabled patients to be better informed regarding expected visual outcomes. 1,2 In order to optimize an interdisciplinary team approach to patient care, further studies of visual outcomes for neuro- ophthalmologic conditions requiring neurosurgical intervention are needed.
AB - A significant role of the neuro-ophthalmologist is to counsel patients on appropriate management and anticipated visual prognosis for conditions affecting the afferent and efferent visual systems, including those requiring neurosurgical treatment. However, the literature regarding anticipated neuro- ophthalmologic prognosis after neurosurgical intervention for cerebral aneurysms, sellar lesions, optic pathway tumors, and elevated intracranial pressure is limited with many key questions unanswered. For example, if a cerebral aneurysm is equally amenable to clipping or endovascular coiling, is there a preferred approach in terms of visual prognosis based on aneurysm location? Is dural venous sinus stenting (VSS) for idiopathic intracranial hypertension (IIH) superior, equivalent or inferior to shunting in terms of visual recovery and safety profile? Landmark studies on pituitary tumors using pre-operative optical coherence tomography (OCT) imaging of the optic nerve head to predict visual recovery after surgical decompression of the optic chiasm have changed neuro-ophthalmologic practice and enabled patients to be better informed regarding expected visual outcomes. 1,2 In order to optimize an interdisciplinary team approach to patient care, further studies of visual outcomes for neuro- ophthalmologic conditions requiring neurosurgical intervention are needed.
KW - idiopathic intracranial hypertension
KW - intracranial pressure disorders
KW - neuro-ophthalmology
KW - neurosurgery
KW - ophthalmic artery aneurysms
KW - optic pathway tumors
KW - sellar tumors
KW - venous sinus stenting
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U2 - 10.3389/fopht.2023.1189725
DO - 10.3389/fopht.2023.1189725
M3 - Article
AN - SCOPUS:85184203730
SN - 2674-0826
VL - 3
JO - Frontiers in Ophthalmology
JF - Frontiers in Ophthalmology
M1 - 1189725
ER -