Neuro-ophthalmology is a subspecialty that studies how central nervous system disorders affect the afferent and efferent visual systems. It includes disorders causing central or peripheral vision loss and disorders causing ocular motility dysfunction and/or diplopia. A significant role of the neuro-ophthalmologist is to counsel patients on appropriate management and anticipated visual prognosis for conditions affecting the afferent and efferent visual systems, including those requiring neurosurgical treatment.
However, the literature regarding anticipated neuro-ophthalmologic prognosis after neurosurgical intervention for cerebral aneurysms, arteriovenous malformations, dural arteriovenous fistulas, cavernomas, brain tumors, pituitary apoplexy, intracerebral hemorrhage, cerebral edema, and elevated intracranial pressure is limited with many key questions unanswered. For example, if a cerebral aneurysm is equally amenable to clipping or endovascular coiling, is there a preferred approach in terms of visual prognosis and if so, does this vary by aneurysm location? Is transverse venous sinus stenting for idiopathic intracranial hypertension superior, equivalent or inferior to shunting in terms of visual recovery and safety profile? What features of planum sphenoidale, dorsum sella or tuberculum sella meningiomas predict successful surgical resection with visual recovery? Landmark studies on pituitary tumors using pre-operative optical coherence tomography to predict visual recovery after surgical decompression of the optic chiasm have changed neuro-ophthalmologic practice and enabled patients to be better informed regarding expected visual outcomes. In order to optimize an interdisciplinary team approach to patient care, further studies of visual outcomes for neuro-ophthalmologic conditions requiring neurosurgical intervention are needed.
This Research Topic highlights current studies of visual outcomes of neuro-ophthalmologic conditions related to brain tumors, vascular lesions, sellar lesions, and intracranial pressure disorders requiring neurosurgical treatment. The list of possible topics comprises but is not limited to:
• CNS metastases
• Cerebral aneurysms
• Arteriovenous malformations
• Dural arteriovenous fistulas
• Carotid-cavernous fistulas
• Brainstem cavernomas
• Pituitary tumors
• Pituitary apoplexy
• Suprasellar meningiomas
• Craniopharyngiomas
• Surgery for IIH and pseudotumor cerebri
• Dural venous sinus stenting
• Lumboperitoneal and ventriculoperitoneal shunting
• Optic nerve sheath fenestration
• Bariatric surgery
• Cerebral edema
• Surgical intervention in hydrocephalus
• Chiari malformations
• Primary tumors
We would like to acknowledge Dr. Zoë Williams for her work on the organization and coordination of this Research Topic.
Neuro-ophthalmology is a subspecialty that studies how central nervous system disorders affect the afferent and efferent visual systems. It includes disorders causing central or peripheral vision loss and disorders causing ocular motility dysfunction and/or diplopia. A significant role of the neuro-ophthalmologist is to counsel patients on appropriate management and anticipated visual prognosis for conditions affecting the afferent and efferent visual systems, including those requiring neurosurgical treatment.
However, the literature regarding anticipated neuro-ophthalmologic prognosis after neurosurgical intervention for cerebral aneurysms, arteriovenous malformations, dural arteriovenous fistulas, cavernomas, brain tumors, pituitary apoplexy, intracerebral hemorrhage, cerebral edema, and elevated intracranial pressure is limited with many key questions unanswered. For example, if a cerebral aneurysm is equally amenable to clipping or endovascular coiling, is there a preferred approach in terms of visual prognosis and if so, does this vary by aneurysm location? Is transverse venous sinus stenting for idiopathic intracranial hypertension superior, equivalent or inferior to shunting in terms of visual recovery and safety profile? What features of planum sphenoidale, dorsum sella or tuberculum sella meningiomas predict successful surgical resection with visual recovery? Landmark studies on pituitary tumors using pre-operative optical coherence tomography to predict visual recovery after surgical decompression of the optic chiasm have changed neuro-ophthalmologic practice and enabled patients to be better informed regarding expected visual outcomes. In order to optimize an interdisciplinary team approach to patient care, further studies of visual outcomes for neuro-ophthalmologic conditions requiring neurosurgical intervention are needed.
This Research Topic highlights current studies of visual outcomes of neuro-ophthalmologic conditions related to brain tumors, vascular lesions, sellar lesions, and intracranial pressure disorders requiring neurosurgical treatment. The list of possible topics comprises but is not limited to:
• CNS metastases
• Cerebral aneurysms
• Arteriovenous malformations
• Dural arteriovenous fistulas
• Carotid-cavernous fistulas
• Brainstem cavernomas
• Pituitary tumors
• Pituitary apoplexy
• Suprasellar meningiomas
• Craniopharyngiomas
• Surgery for IIH and pseudotumor cerebri
• Dural venous sinus stenting
• Lumboperitoneal and ventriculoperitoneal shunting
• Optic nerve sheath fenestration
• Bariatric surgery
• Cerebral edema
• Surgical intervention in hydrocephalus
• Chiari malformations
• Primary tumors
We would like to acknowledge Dr. Zoë Williams for her work on the organization and coordination of this Research Topic.