Journal article

Medial transconjunctival intrinsic optic nerve biopsy: surgical technique and indications.

Jwu Jin Khong, Alan A McNab

Orbit | Published : 2012


AIM: To describe a method of intrinsic optic nerve biopsy and its indications. METHODS: Retrospective case series. RESULTS: We report four cases that required intrinsic optic nerve biopsy for progressive optic neuropathy with uncertain diagnosis after negative systemic investigations. In all cases, a medial transconjunctival approach was used. There were no complications noted with this technique in the series, specifically there was no reported deterioration in vision. One case of neurosarcoidosis was confirmed. In the other three cases, the pathology results were non-diagnostic but ruled out serious causes such as central nervous system leukaemia relapse. CONCLUSION: Medial transconjunctiv..

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