RT Journal Article
SR Electronic
T1 Ocular complications of acoustic neuroma surgery
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 1389
OP 1392
DO 10.1136/bjo.83.12.1389
VO 83
IS 12
A1 M G Mulhern
A1 P M Aduriz-Lorenzo
A1 D Rawluk
A1 L Viani
A1 P Eustace
A1 P Logan
YR 1999
UL http://bjo.bmj.com/content/83/12/1389.abstract
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.