How I do it: Optic nerve decompression in patient with osteopetrosis - Takeaways - MDSpire

How I do it: Optic nerve decompression in patient with osteopetrosis

  • By

  • Katarína Horčičáková

  • Jana Táborská

  • Adéla Bubeníková

  • Vladimír Beneš

  • April 9, 2025

  • 0 min

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  • 1

    A five-year-old girl with osteopetrosis type II underwent optic nerve decompression due to bilateral vision worsening.

  • 2

    Surgical access involved a pterional craniotomy, drilling the lesser wing of the sphenoid, and transecting the meningo-orbital band.

  • 3

    The optic nerve was decompressed by removing the anterior clinoid process and drilling the optic canal roof to relieve compression.

  • 4

    Postoperative assessments showed stable visual function, confirming the safety and effectiveness of the decompression procedure.

  • 5

    The timing of optic canal decompression remains uncertain, with staged surgeries suggested to preserve vision in the better eye.

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