Optic Neuritis Secondary to Paranasal Sinusitis: A Case Report
Journal of Otorhinolaryngology and Facial Plastic Surgery,
Vol. 7 No. 1 (2021),
28 Mordad 2021
,
Page 1-4
https://doi.org/10.22037/orlfps.v7i1.35627
Abstract
Background: Coexistence of optic neuritis (ON) and sinus disorder, particularly the concurrent presentation of both diseases, is a rare and unique condition. In this report, we describe a case of optic neuritis, which was accompanied by posterior ethmoid sinusitis.
Case Presentation: Presented with right-sided acute progressive loss of vision in a 61-year-old female due to the direct spread of infection from ethmoid sinus to the optic nerve through dehiscent optic canal.
Conclusions: A combination of medical therapy, prior to surgery, with broad spectrum antibiotics and corticosteroids together with right-sided ethmoidectomy and sphenoidectomy led to a complete recovery of vision. She was successfully treated and at follow up of first month, she presented the normal vision acuity.
- Paranasal sinusitis, Optic neuritis, Vision acuity, Ethmoidectomy, Sphenoidectomy
How to Cite
References
Chan JW. Optic neuritis in multiple sclerosis. Ocul Immunol Inflamm. 2002;10(3):161-86.
Rothstein J, Maisel RH, Berlinger NT, Wirtschafter JD. Relationship of optic neuritis to disease of the paranasal sinuses. Laryngoscope. 1984;94(11 Pt 1):1501-8.
Coca Pelaz A1, Fernández Lisa C, Llorente Pendás JL, Rodrigo Tapia JP. Reversible retrobulbar optic neuritis due to sphenoidal sinus disorders: two case studies. Acta Otorrinolaringol Esp. 2008;59(6):308-10.
Onodi A. The optic nerve and the accessory cavities of the nose. Ann Otol Rhinol Laryngol. 1908;7:1.
Loeb H. A study of the anatomic relations of the optic nerve to the accessory cavities of the nose. Ann Otol Rhinol Laryngol.1909;18:243.
P. Čelakovský, J. Vokurka, L. Školoudík, J. Růžička. Optic neuritis and paranasal sinus diseases. Cent. Eur. J. Med. 2010;6(1):117-9. DOI: 10.2478/s11536-010-0069-7
Shimo-oku M., Miyazaki S., Shiraki K., Sugimoto T., Sotani H., Optic nerve involvement in posterior paranasal sinus disease. Neuro-Ophthalmol. 1989;9:147-55.
Del Noce C, Marchi F, Sollini G, Iester M. Swollen Optic Disc and Sinusitis. Case Rep Ophthalmol.2017; 8(2): 421–4.
- Abstract Viewed: 172 times
- PDF Downloaded: 179 times