PT  - JOURNAL ARTICLE
AU  - M G Mulhern
AU  - P M Aduriz-Lorenzo
AU  - D Rawluk
AU  - L Viani
AU  - P Eustace
AU  - P Logan
TI  - Ocular complications of acoustic neuroma surgery
AID  - 10.1136/bjo.83.12.1389
DP  - 1999 Dec 01
TA  - British Journal of Ophthalmology
PG  - 1389--1392
VI  - 83
IP  - 12
4099  - http://bjo.bmj.com/content/83/12/1389.short
4100  - http://bjo.bmj.com/content/83/12/1389.full
SO  - Br J Ophthalmol1999 Dec 01; 83
AB  - 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.