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Scientific correspondence
Ocular complications of acoustic neuroma surgery
  1. M G Mulherna,
  2. P M Aduriz-Lorenzoa,
  3. D Rawlukb,
  4. L Vianic,
  5. P Eustacea,
  6. P Logana
  1. aDepartment of Ophthalmology, Beaumont Hospital, Dublin, Ireland, bDepartment of Neurosurgery, cDepartment of Otolaryngology
  1. Mark Mulhern, University of Toronto, Department of Ophthalmology, The Toronto Hospital , Western Division, 399 Bathurst Street, EC7-009, Toronto, Ontario, Canada M5B 2H3

Abstract

AIM To analyse the risk factors involved in the development of ocular complications after acoustic neuroma resection, in particular corneal complications and visual loss, and to identify measures that may reduce these.

METHODS 62 patients who underwent surgery for acoustic neuroma had a standardised ophthalmic examination and retrospective case note review.

RESULTS At final review (mean 37.6 months), although 38 patients reported ocular symptoms, only 22% saw 6/12 or worse. Patients with hypoaesthetic corneas had a higher incidence of corneal pathology (79%) than those with normal sensation (39%). Lagophthalmos increased the incidence of corneal pathology (to 80%); in those with normal closure, the incidence was only 46%. 20 patients required at least one ophthalmic surgical procedure.

CONCLUSIONS After acoustic neuroma resection patients place a considerable burden on the ophthalmologist. Immediate referral postoperatively, and frequent review of those with abnormal sensation may reduce the severity of long term ocular complications.

  • ocular complications
  • acoustic neuroma surgery

https://doi.org/10.1136/bjo.83.12.1389

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