About Endoscopic Optic Nerve Decompression
Key Highlights
-
Minimally invasive approach performed entirely through the nose (endonasal).No external facial scars, leading to better cosmetic outcomes.Typically results in less post-operative pain and bleeding compared to open surgeries.Allows for precise, magnified visualization of the optic nerve and surrounding structures.Generally associated with a shorter hospital stay and faster overall recovery time.Primary goal is to halt vision loss and potentially improve visual function./ul
Who is this surgery for?
- Traumatic Optic Neuropathy (TON) following head or facial trauma.
- Compression from benign tumors near the optic nerve (e.g., meningioma, pituitary adenoma).
- Fibrous dysplasia or other bony abnormalities narrowing the optic canal.
- Selected cases of Graves' ophthalmopathy (thyroid eye disease) causing nerve compression.
- Persistent vision loss or deterioration where imaging confirms nerve compression.
How to prepare
- Comprehensive ophthalmological and neurological evaluation to assess vision and nerve function.
- High-resolution CT and/or MRI scans to precisely map the anatomy and site of compression.
- Pre-operative consultation with the ENT surgeon and possibly a neurosurgeon or ophthalmologist.
- Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised by the doctor.
- Fasting for 6-8 hours before the procedure, depending on anesthesia requirements.
- Discussion of anesthesia (usually general) and a review of medical history and allergies.
Risks & possible complications
- Bleeding or hematoma formation.
- Cerebrospinal fluid (CSF) leak, which may require additional repair.
- Infection, including meningitis or sinusitis.
- Injury to surrounding structures like blood vessels, other cranial nerves, or the brain.
- Failure to improve or worsening of vision.
- Nasal complications such as dryness, crusting, or altered sense of smell.
- Risks associated with general anesthesia.
Recovery & hospital stay
- Initial hospital stay for monitoring of vision and neurological status.
- Nasal packing may be present for a short period to control bleeding.
- Patients must avoid blowing their nose, strenuous activity, and heavy lifting for several weeks.
- Saline nasal sprays or irrigations are often recommended to promote healing and reduce crusting.
- Follow-up appointments are crucial for nasal endoscopy to clean the surgical site and monitor healing.
- Vision will be closely monitored; improvement can be gradual over weeks to months.
- Complete recovery of nasal function may take a few weeks.
-
Typical hospital stay: 2-4 days
-
Expected recovery time: 2-4 weeks for initial recovery; visual improvement may continue for months
Frequently Asked Questions
If you are considering endoscopic optic nerve decompression in India, these questions and answers can help you make a confident, informed decision.
Popular choices for endoscopic optic nerve decompression in India include Manipal Hospital Dwarka, Manipal Hospital Jayanagar, Manipal Hospital Malleshwaram, Manipal Hospital Hebbal, Manipal Hospital Hebbal, KMC Hospital Mangalore, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform endoscopic optic nerve decompression. MediFyr helps you compare ent specialists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for endoscopic optic nerve decompression compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 150 Thousand – 400 Thousand | 2-4 days | ~ 2-4 weeks for initial recovery; visual improvement may continue for months | Know More |
| Turkey | TRY 525 Thousand – 1.4 Million | 2-4 days | ~ 2-4 weeks for initial recovery; visual improvement may continue for months | Know More |
Top hospitals for Endoscopic Optic Nerve Decompression in India
These partner hospitals in India have dedicated ent teams and experience managing patients undergoing endoscopic optic nerve decompression.
Rohan Williams, a 35-year-old construction site...
Rohan Williams, a 35-year-old construction site manager, developed sudden, severe pain behind his right eye with rapid vision loss after a sinus infection that spread. Diagnosed with invasive fungal sinusitis, the infection and inflammation were compressing his optic nerve, risking irreversible damage within days. His ENT surgeon, Dr. Patel, urgently recommended Endoscopic Optic Nerve Decompression to drain the infection and decompress the nerve, combined with antifungal therapy. Rohan, who relied on his vision for safety at work, was shocked and anxious about the speed of his decline. The procedure successfully cleared the infected sinus tissue and relieved pressure on the nerve. Post-op recovery involved a two-week course of IV antifungals and nasal rinses. His vision began improving within days and was nearly fully restored after three months. Emotionally, he journeyed from panic and vulnerability during the acute crisis to immense gratitude and a renewed focus on his health, feeling he had narrowly escaped a life-altering disability.
ENT Specialists for Endoscopic Optic Nerve Decompression
Explore experienced ent specialists who regularly perform endoscopic optic nerve decompression and provide pre- and post-operative care in India.
- 16 Years Experience
- ENT Specialist
Miot Hospital Chennai, Chennai
- 21 Years Experience
- ENT Specialist
Manipal Hospital Yeshwanthpur, Bangalore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- ENT Specialist
- 26 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 24 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 21 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 18 Years Experience
- ENT Specialist
Manipal Hospital Whitefield, Bangalore
- 43 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 38 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 36 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 24 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 29 Years Experience
- ENT Specialist
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- ENT Specialist
Manipal Hospital Patiala, Patiala
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 14 Years Experience
- ENT Specialist
Manipal Hospital Mysore, Mysore
- 19 Years Experience
- ENT Specialist
Manipal Hospital Malleshwaram, Bangalore
- 8 Years Experience
- ENT Specialist
Manipal Hospital Kharadi, Pune
- 26 Years Experience
- ENT Specialist
Manipal Hospital Jayanagar, Bangalore