Maloney Taylor G, Oros Joseph, G. Reshma, Surujdin Ryan, Gilliland Connor, Hise Joseph H
{"title":"Endovascular Dural Venous Sinus Stenting for the Treatment of Papilledema in Idiopathic Intracranial Hypertension","authors":"Maloney Taylor G, Oros Joseph, G. Reshma, Surujdin Ryan, Gilliland Connor, Hise Joseph H","doi":"10.36959/587/594","DOIUrl":"https://doi.org/10.36959/587/594","url":null,"abstract":"Introduction: Recently a subset of patients with Benign Intracranial hypertension has been identified that have cerebral dural venous stenosis. Recent studies have demonstrated that venous sinus stenting can result in normalization of these pressures and resultant resolution of ophthalmologic findings. Methods: Twenty-six patients were referred to a single institution for optic nerve swelling due to Benign Intracranial hypertension and found to have cerebral dural venous sinus stenosis. These patients subsequently underwent cerebral venous sinus stenting. Ophthalmic manifestations were evaluated pre and post procedure as well as intravascular pressure measurements and pressure gradients before and after the stenting procedure. The pre and postoperative ophthalmologic findings were tabulated as well as the pre and post procedure pressure measurements before and after stenting. Results: The average preprocedural pressure gradient measured 13.8 mmHg and was reduced to 1.3 mmHg after the stenting procedure. 25 of 26 patients had improvement in their papilledema after the stenting procedure. No complications occurred during or after the procedure. Conclusion: Endovascular Dural Venous sinus stenting is a safe and effective treatment modality for the ophthalmic manifestations of Benign Intracranial Hypertension in those patients found to have cerebral venous sinus stenosis. Check for updates and occasionally Optical Coherence Tomography (OCT). OCT is a newer methodology that delineates the thickness of the retinal nerve fiber layer (RNFL) which may be increased in acute cases of IIH or demonstrate thinning with chronic cases of IIH [3,4]. Thinning of the RNFL has been correlated with visual changes on automated perimetry testing [5]. These findings frequently occur in the setting of a patient with retrobulbar pain with or without subjective visual changes. Citation: Maloney TG, Oros J, George R, et al. (2021) Endovascular Dural Venous Sinus Stenting for the Treatment of Papilledema in Idiopathic Intracranial Hypertension. J Ophthalmic Surg 4(1):27-29 Maloney TG et al. J Ophthalmic Surg 2021, 4(1):27-29 Open Access | Page 28 | The average BMI of our patient population was 36.5 (range 20.2 to 62.1). If the patient had a history of prior Dural venous sinus thrombosis, web formation often occurred which necessitates angioplasty prior to stent deployment. The authors note that if angioplasty is not performed in those patients with history of dural venous sinus thrombosis, the deployed stent will often have a narrow waist which prevents complete stent expansion without angioplasty.","PeriodicalId":243850,"journal":{"name":"Journal of Ophthalmic Surgery","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114490834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Suture Derived Foreign Bodies in Ophthalmic Surgery","authors":"Setten Gysbert-Botho van","doi":"10.36959/587/590","DOIUrl":"https://doi.org/10.36959/587/590","url":null,"abstract":"Usually swaged end suture attachments to the needles are preferred providing most atraumatic suturing possible. However, we report on the possible release of foreign material from sutures whilst performing penetrating glaucoma surgery (trabeculectomy). In this surgery any release of foreign material would have imposed a significant risk on the success of surgery and the health of the eye. The foreign bodies were less than 100 μm in size and very difficult to see without the microscope. As we consider these incidents potentially hazardous but easily avoidable, we urge our fellow surgeons, to carefully examine the surgical tools and sutures carefully prior and after surgery. The key sign of a faulty suture attachment is an enhanced resistance when pulling the needle through the tissue such as the sclera. The additional force exerted to pull the needle through is enough to deliberate foreign material. Any foreign body left behind in the wound has the potential to put the success of any surgery at risk. Citation: Gysbert -Botho van Setten (2019) Suture Derived Foreign Bodies in Ophthalmic Surgery. J Ophthalmic Surg 2(1):13-15 gB van Setten. J Ophthalmic Surg 2019, 2(1):13-15 Open Access | Page 14 | use. Alerted by the previous incident the needle and suture were inspected under the microscope. Here, at the end of the needle there where the suture had come off a similar pearl was discovered (Figure 3).","PeriodicalId":243850,"journal":{"name":"Journal of Ophthalmic Surgery","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124531161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ptosis Surgery with an Improved Method of Shortening the Müller's Muscle and the Levator Aponeurosis with Transconjunctival Threading","authors":"K. Ogasawara","doi":"10.36959/587/589","DOIUrl":"https://doi.org/10.36959/587/589","url":null,"abstract":"The present procedure was performed in 17 patients with age-related ptosis. Postoperatively, satisfactory aesthetic results were achieved in all cases. No particular complications were observed, and there was no case of overcorrection or incomplete eyelid closure. Mean operative time was 11 minutes.","PeriodicalId":243850,"journal":{"name":"Journal of Ophthalmic Surgery","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124782300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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