• Martin Munk Bang, Mikkel Christian Schou Andersen, Rom PoulsenFrantzFDepartment of Neurosurgery, Odense University Hospital, Odense, Denmark., Bonde PedersenChristianCDepartment of Neurosurgery, Odense University Hospital, Odense, Denmark., Peter Darling, John Jakobsen, Dorte Bechtold, Dehghani MolanderLalehLDepartment of Ophthalmology, Odense University Hospital, Odense, Denmark., Hedegaard DahlrotRikkeRDepartment of Oncology, Odense University Hospital, Odense, Denmark., Nina Nguyen, and Bo Halle.
• Department of Neurosurgery, Odense University Hospital, Odense, Denmark. Electronic address: martin.bang@rsyd.dk.
• World Neurosurg. 2024 Jul 1; 187: e629e637e629-e637.

BackgroundManagement of patients with optic nerve sheath meningiomas (ONSMs) is controversial and the treatment strategy in this patient group is still up for discussion. Transnasal endoscopic orbital and optic nerve decompression aims to reduce the pressure in the orbit and on the optic nerve and thereby prevent vision loss. This article presents material from 7 cases of transnasal endoscopic orbital decompression.MethodsThe study design is a retrospective cohort study. The aim was to include all patients with a meningioma residing along the nerve sheath and who were operated using endoscopic transnasal decompression of the orbit and if needed the optic canal at Odense University Hospital. Data from the medical records were collected and pre- and postoperative eye examinations were compared. In addition, it was recorded whether there were complications to the procedure and whether additional treatments were given.ResultsIn total, 4 women and 3 men were included in the study. Four out of 7 patients experienced improvement in vision after the operation. One patient experienced unchanged vision and 2 patients experienced deterioration of vision after surgery.ConclusionsThe current report of 7 patients with ONSM shows promising results for this surgical procedure as 4 out of 7 patients experienced improvement in their vision at follow-up examinations. The 2 patients who experienced deterioration of vision already had severely reduced vision preoperatively, which indicates that surgery should be considered before the vision becomes significantly reduced.Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.

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