Transsphenoidal Optic Canal Decompression to Manage a Venous Malformation of the Optic Canal: A Case Report.

IF 0.5 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI:10.1159/000545542

Khizar Rana, David Curragh, Valerie Juniat, Sandy Patel, James Slattery, Dinesh Selva

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引用次数: 0

Abstract

Introduction: Intracanalicular vascular malformations are rare. This report describes a case of compressive optic neuropathy secondary to an intracanalicular venous malformation managed with endoscopic transsphenoidal optic canal decompression.

Case presentation: A 43-year-old female presented with an 18-month history of painless vision loss secondary to an intracanalicular venous malformation causing compressive optic neuropathy. Ophthalmic examination showed reduced visual acuity and color vision, relative afferent pupillary defect, and optic disc pallor. Imaging findings were consistent with a slow-flow vascular malformation. An endoscopic transsphenoidal optic canal decompression was performed. The lesion was found to be wrapping around the optic nerve. At follow-up after 1 year, visual acuity had improved along with restoration of full color vision and visual fields.

Conclusion: This case highlights the successful use of endoscopic transsphenoidal optic canal decompression to treat compressive optic neuropathy caused by an intracanalicular venous malformation.

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经蝶窦视神经管减压术治疗视神经管静脉畸形1例。

导管内血管畸形是罕见的。本报告描述了一例压迫性视神经病变继发于小管内静脉畸形，经内镜下经蝶窦视神经管减压治疗。病例介绍：一名43岁女性，有18个月的无痛性视力丧失史，继发于静脉管内畸形，引起压缩性视神经病变。眼科检查显示视力和色觉下降，瞳孔相对传入缺损，视盘苍白。影像学表现符合慢流血管畸形。内镜下经蝶窦视神经管减压。病变被发现包裹在视神经周围。随访1年后，视力明显改善，全彩色视觉和视野恢复。结论：本病例强调内镜下经蝶窦视神经管减压术成功治疗由管内静脉畸形引起的压迫性视神经病变。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.