Optic nerve cyst-like formation presenting as a delayed complication of optic nerve sheath fenestration.

Ophthalmic Plast Reconstr Surg

*Department of Ophthalmology, University of Cincinnati and the Cincinnati Eye Institute, Cincinnati, Ohio; †Department of Ophthalmology, Georgetown Hospital, Washington, District of Columbia; ‡The Methodist Hospital, Houston, Texas; §Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medical College, Manhattan, New York; ‖Department of Ophthalmology, Baylor College of Medicine, Houston, Texas; ¶UTMB Galveston, Texas; and #Department of Ophthalmology, University of California, San Francisco, California, U.S.A.

Published: October 2014

Two patients with idiopathic intracranial hypertension underwent optic nerve sheath fenestration. One patient developed decreased vision and choroidal folds 1 month postoperatively. The other patient developed proptosis and pain 9 months postoperatively. Neuroimaging showed a cyst-like structure adjacent to the optic nerve in each patient. In each case, symptoms and signs resolved after surgical excision of the structure.

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Source
http://dx.doi.org/10.1097/IOP.0b013e31829bb3e8DOI Listing

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