Affordable Access

Publisher Website

Delayed Radiation Injury to the Retrobulbar Optic Nerves and Chiasm:Clinical Syndrome and Treatment with Hyperbaric Oxygen and Corticosteroids

Authors
Journal
Ophthalmology
0161-6420
Publisher
Elsevier
Volume
97
Issue
3
Identifiers
DOI: 10.1016/s0161-6420(90)32582-4

Abstract

Abstract Thirteen patients with delayed radiation injury to the optic nerves and chiasm were treated with hyperbaric oxygen (HBO) and corticosteroids. These patients experienced painless; abrupt loss of vision in one (6 patients) or both (7 patients) eyes between 4 and 35 months after receiving radiation doses of at least 4500 cGy to the region of the chiasm. Diagnostic evaluation including neuro-imaging and lumbar puncture showed no recurrent tumor and no other cause for visual loss. No patient's vision improved during treatment or follow-up lasting between 1 and 4 years. There were no serious complications of treatment.

There are no comments yet on this publication. Be the first to share your thoughts.