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BRIEF COMMUNICATION
Year : 2009  |  Volume : 57  |  Issue : 4  |  Page : 305-306

Vertical lid split approach for optic nerve sheath decompression


Oculoplastic and Orbital Division, Department of Ophthalmology and Visual Sciences, University of Adelaide and the South Australian Institute of Ophthalmology, Adelaide, Australia

Correspondence Address:
Venkatesh C Prabhakaran
Department of Ophthalmology and Visual Sciences, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia - 5000
Australia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.53057

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We describe a vertical lid split orbitotomy approach to perform optic nerve sheath fenestration which was done in a patient with idiopathic intracranial hypertension. A vertical lid split incision was used to enter the superomedial orbit and approach the optic nerve sheath. This approach resulted in a successful nerve sheath fenestration, with improvement in the patient's symptoms. The vertical lid split incision provides access to the optic nerve sheath with minimal morbidity and may be an option for optic nerve sheath decompression.


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