AI Article Synopsis
- A 70-year-old man with complete blindness in one eye experiences worsening vision in the other due to idiopathic pachymeningitis affecting the optic nerve.
- An MRI indicated optic neuropathy due to the condition, leading to the patient undergoing endoscopic optic nerve decompression surgery.
- Post-surgery, his visual acuity remained the same at 6 weeks but drastically worsened at one year, while his color vision showed no improvement, indicating the procedure did not achieve the desired outcome.
Article Abstract
This case reports the outcome of endoscopic optic nerve decompression in a rare case of idiopathic pachymeningitis in a patient solely reliant on the affected eye. A 70 year old man with complete blindness in his left eye presented with deterioration of vision in his right eye. An MRI head and orbits was suggestive of idiopathic pachymeningitis extending into the right orbital apex, causing a compressive optic neuropathy. He subsequently underwent endoscopic optic nerve compression. Visual acuity and colour vision were measured pre-operatively, and at 6 weeks and one year post operatively. Pre-operative visual acuity was measured at 6/9, compared to 6/9 at 6 weeks post operatively and 6/60 at one year. Colour vision was measured at 0/17 pre-operatively and did not improve post-. We report a rare case of optic neuropathy secondary to pachymeningitis, in which endoscopic nerve decompression did not offer the expected benefit of halting visual deterioration.
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| http://dx.doi.org/10.1016/j.neuchi.2024.101618 | DOI Listing |
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