Endoscopic Transorbital Approach for Left Spheno-orbital Meningioma Resection and Optic Canal Decompression

A 59-year-old patient presented with loss of vision in her left eye confirmed by examination, exophthalmos, and constant ocular pressure. Preoperative imaging revealed a hyperostotic lesion of the left lesser and greater sphenoid wings with extension to the optic canal and anterior clinoid, but minimal intracranial extension, typical of a spheno-orbital meningioma. An endoscopic transorbital approach through the superior eyelid was used for successful subtotal resection of the lesion, anterior clinoidectomy, and optic canal decompression.

Publication History

Article published online:
05 February 2024