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Acoustic Neuroma

Concerns with Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, CK, P-IOL, RLE, etc.


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Acoustic neuroma can affect facial sensation, expression, and balance. Lasik is not normally directly affected by this malady.

 

Acoustic neuroma is not usually a contraindication for conventional or custom wavefront  LasikAll-Laser Lasik, PRK, LASEK, Epi-Lasik, CK, P-IOL, or RLE if it has been either removed or otherwise stabilized, however be sure to tell your doctor about your condition before having refractive surgery.

Acoustic neuroma (sometimes termed a neurolemmoma or schwannoma) is a non-cancerous tissue growth on a nerve leading from the brain to the inner ear. This nerve both transmits sound information and sends balance information to the brain from the inner ear. Although reduced facial sensation, limited facial expression, and poor balance may occur, these do not directly affect refractive surgery, a concern would be if these symptoms developed after Lasik or similar laser eye surgery it would be difficult to determine if the symptoms were related to the surgery or acoustic neuroma.

The affected nerve to the ear and the facial nerve that provides motion of the muscles of facial expression lie adjacent to each other as they pass through a bony canal called the internal auditory canal. The brain is not invaded by the tumor, but the tumor pushes the brain as it enlarges. The slowly enlarging tumor protrudes from the internal auditory canal into an area behind the temporal bone called the cerebellopontine angle. The tumor now assumes a pear shape with the small end in the internal auditory canal.

Larger tumors can press on another nerve in the area (the trigeminal nerve) which is the nerve of facial sensation. Vital functions to sustain life can be threatened when large tumors cause severe pressure on the brainstem and cerebellum part of the brain. Most acoustic neuromas are diagnosed in patients between the ages of 30 and 60.

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, NearVision CK, RLE, or any refractive surgery procedure, we highly recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Laser Eye Surgeon.


Current Acoustic Neuroma Medical Journal News...

Pathology of the vestibulocochlear nerve.

Related Articles

Pathology of the vestibulocochlear nerve.

Neuroimaging Clin N Am. 2008 May;18(2):321-46

Authors: Swartz JD

Imaging of the vestibulocochlear nerve has evolved dramatically over the past few decades. The imaging specialist now is involved in the diagnosis of far more diagnostic entities than ever before. With this increased involvement comes the responsibility to increase collective knowledge regarding the pathophysiology of these diagnostic entities. This article is organized in a conventional way and covers congenital deformity of the internal auditory canal, neoplastic and pseudoneoplastic lesions, with special detailed emphasis on schwannoma of the eight cranial nerves (acoustic neuroma), nonneoplastic IAC/CPA pathology, including vascular loops, and numerous additional differential diagnostic entities, with particular emphasis on non-neoplastic meningeal disease. Lesions of the auditory pathway and an overview of cochlear implant surgery are also included in this discussion.

PMID: 18466835 [PubMed - in process]

 


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Last updated Friday, April 25, 2008

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