+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Management of optic nerve gliomas



Management of optic nerve gliomas



British Journal of Ophthalmology 64(8): 545-552



Seventeen patients thought to have orbital optic nerve gliomas when first seen have been reviewed after up to 12 years. Enlargement of the optic canal was present in 15 of the 16 patients examined, but this finding was unreliable as an indicator of the posterior extent of the tumour. Nine patients had a stable course with little change over a period of up to 8 years; there was optic atrophy in all and neurofibromatosis was relatively common (7/9). Eight patients showed progressive enlargement of the tumour; 6 had swollen discs, and the incidence of neurofibromatosis was relatively low (3/8). The optic nerve was excised in 7 of the latter group. Biopsies of the optic nerve taken from the region of maximal enlargement were difficult to interpret and unhelpful in planning management. Radical surgery should be reserved for the minority of patients in whom there is progressively enlarging tumour without evidence of chiasmal involvement.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 005850251

Download citation: RISBibTeXText

PMID: 7426571

DOI: 10.1136/bjo.64.8.545


Related references

The management of operated patients using a relational data base. Kyobu Geka. Japanese Journal of Thoracic Surgery 39(6): 443-448, 1986

The surgical management of ebsteins anomaly the combined use of tricuspid valve replacement atrio ventricular plication and atrioplasty human. Journal of Thoracic and Cardiovascular Surgery 53(3): 385-391, 1967

Management of low-grade cervical dysplasia during pregnancy. Southern Medical Journal 83(12): 1405-6 1412, 1990

The radio sensitizing effect of ornidazole in hypoxic mammalian tissue an in vivo study. International Journal of Radiation Oncology, Biology, Physics 8(10): 1735-1740, 1982

Pattern- and flash-evoked potentials in patients with dissociated vertical deviation. Documenta Ophthalmologica. Advances in Ophthalmology 69(3): 283-291, 1988

The clinical picture and treatment of microfocal myocardial infarction complicated by collapse in conditions of first aid. Sovetskaia Meditsina 28(11): 9, 1965

Optic-microscopic registration of microvibration of the human body. Mikroskopie 14: 102-105, 1959

Pattern elicited electroretinograms in glaucoma. Nippon Ganka Gakkai Zasshi 92(1): 156-160, 1988

Gliomas of the optic chiasm and tract. Bulletin des Societes d'Ophtalmologie de France 67(7): 637-644, 1967

Gliomas of the optic nerve and chiasm in children. Australian and New Zealand Journal of Surgery 47(5): 596-600, 1977

Optic nerve glioma: the role of radiation therapy. Cancer 40(5): 2079-2080, 1977

Gliomas of the optic nerve. L'Annee Therapeutique et Clinique en Ophtalmologie 35: 141-146, 1984

Management of opportunistic infections in AIDS. Yokohama Medical Bulletin 44(3-4): 118-124, 1993

Optic nerve and chiasm. Archives d'Ophtalmologie et Revue Generale d'Ophtalmologie 32(2): 161-176, 1972

Optic nerve gliomas and meningiomas. Neurologic Clinics 9(1): 163-177, 1991