Abstract
The authors have presented results of optic nerve sheath decompression in the treatment of 5 patients (6 eyes) with idiopathic intracranial hypertension and progressive visual loss. Four women and man (mean age 42 years, ranged from 12 to 65 years) were operated on at the Department of Ophthalmology, University Hospital, Hradec Králové.
Surgeries were performed by a standard medialtransconjunctival approach and the sheaths were cut by three incisions. No seriout intra- and post-operative complications were seen, only one patient developed transient double vision after surgery.
Visual functions improved in 4 patients, in one patient permanent visual loss with optic atrophy in both eyes occured due to a long-term duration of papilledema before referral to us. Out long-term results enable us to recommend optic nerve sheath decompression for the treatment of patients with IIH in visionthreatening cases after troroughly balanced assessment of passible risks and gains.