Bilateral endoscopic optic nerve decompression in an infant with osteopetrosis

J AAPOS. 2019 Feb;23(1):40-42. doi: 10.1016/j.jaapos.2018.05.012. Epub 2018 Aug 29.

Abstract

Osteopetrosis is a rare disorder of bone remodeling characterized by defective resorption leading to excessive skeletal mass including optic canal. Compression of the optic nerve from the narrowed optic canal is the most common cause of vision loss in children with osteopetrosis. We report the case of a 6-month old girl with osteopetrosis who underwent bilateral optic canal decompression via endoscopic transcaruncular approach for progressive deterioration of visual function secondary to compressive optic neuropathy from narrowed optic canals. The patient showed improvement in visual function postoperatively.

Publication types

  • Case Reports

MeSH terms

  • Decompression, Surgical / methods*
  • Evoked Potentials, Visual / physiology
  • Female
  • Heart Defects, Congenital / complications
  • Humans
  • Infant
  • Optic Nerve / diagnostic imaging
  • Optic Nerve / surgery*
  • Optic Nerve Diseases / diagnostic imaging
  • Optic Nerve Diseases / physiopathology
  • Optic Nerve Diseases / surgery*
  • Osteopetrosis / complications*
  • Tomography, X-Ray Computed
  • Williams Syndrome / complications