Optic Nerve Decompression

Highlights

• Surgery begins with removal of posterior lamina papyracea to identify periorbita.
• Diamond burr is used on long-handled drill to thin bone along optic canal.
• Thinned bone is elevated with small spatula.

Keep in Mind/Things to Remember:

• Decompression usually extends for a distance of 10 mm within the sphenoid.
• Incision of the optic nerve sheath is usually not necessary.