The management of acute visual loss after sinus surgery - two cases of rhinogenic optic neuropathy
Volume: 44 - Issue: 3
First page: 216 - Last page: 218
D. Haller - J. Gosepath - W.J. Mann
DOI: 10.4193/Rhin
Introduction: Different causative mechanisms of ophthalmic complications during endonasal sinus surgery have been reported. Only a few cases of blindness caused by affections of the optic nerve due to inflammatory paranasal sinus disease have been described.
Objective: Inflammatory optic neuropathy shall be considered among the causative factors for amaurosis after sinus surgery.
Material: We present two patients with dramatic visual decrease occurring two weeks after sinus surgery as a result of inflammatory posterior paranasal sinus disease.
Results and Conclusion: Our therapy including surgical intervention in form of orbital or optic nerve decompression accompanied by systemic steroids and antibiotic therapy resulted in a significant increase of visual acuity in one case and a complete restoration of vision in the other case. In these two cases surgical intervention in the described fashion along with systemic steroids and antibiotic therapy represented a successful therapeutical approach.
Rhinology 44-3: 216-218, 2006
To see the issue content and the abstract you do not have to login
Please login to download the full articles
If you do not have a subscription to Rhinology please consider taking one.
