What is it about?
The alteration of peripapillary area, especially the reduced radial peripapillary capillary density, occurred in indirect traumatic optic neuropathy eyes. The preoperative radial peripapillary capillary density was associated with postoperative best-corrected visual acuity and was shown to be highly predictive for visual improvement after endoscopic trans-ethmosphenoid optic canal decompression one month.
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Why is it important?
We defined that the indirect traumatic optic neuropathy patients with a preoperative global radial peripapillary capillary density of less than 43.2% should be carefully considered for the resilience of the optic nerve function and visual improvement. The clinicians should pay attention to the preoperative radial peripapillary capillary density closely to predict the prognosis of visual improvement after endoscopic trans-ethmosphenoid optic canal decompression treatment.
Perspectives
The visual improvement after endoscopic trans-ethmosphenoid optic canal decompression for indirect traumatic optic neuropathy was a great concern to the patients themselves and clinicians. Therefore, the related prognostic factors for endoscopic trans-ethmosphenoid optic canal decompression were essential for clinicians to consider whether to give treatment or not. I hope this article would give some hints for clinicians to consider whether to give treatment or not.
Jie Ye
Wenzhou Medical University
Read the Original
This page is a summary of: Retinal peripapillary microvasculature in indirect traumatic optic neuropathy predicted prognosis of endoscopic trans‐ethmosphenoid optic canal decompression, Acta Ophthalmologica, September 2022, Wiley,
DOI: 10.1111/aos.15243.
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