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Sinusitis-induced optic neuropathy should be considered in patients with sinus, ear (otalgia) or eye pain, and ipsilateral vision loss due to optic nerve dysfunction (e.g., visual acuity and or visual field loss, and relative afferent pupillary defect (RAPD)).
15 kwi 2024 · Potentially fatal fungal sphenoid sinusitis (FSS) causes visual damage. However, few studies have reported on its visual impairment and prognosis.
15 kwi 2024 · Potentially fatal fungal sphenoid sinusitis (FSS) causes visual damage. However, few studies have reported on its visual impairment and prognosis. Five hundred and eleven FSS patients with ocular complications treated at Beijing Tongren Hospital were recruited and clinical features and visual outcomes were determined.
Sphenoid sinusitis should be considered in patients presenting with acute vision loss. Awareness, early diagnosis, and intervention help prevent permanent complications.
6 gru 2017 · Upon discharge, vision had improved in seven of the seventeen eyes (41.2%) with decreased visual acuity, including 3 eyes with fungal sphenoid sinusitis; 2 of these 3 had a short duration of vision loss (6 and 20 days), and the third had good initial visual acuity (VA = 20/30) despite 1-year disease duration preoperatively (case 11).
Visual loss and other cranial nerve involvements were reported at an incidence of 12% in sphenoid rhinosinusitis presenting symptoms. 10 Visual deterioration may be caused by either inflammation involving the optic nerve in the case of bacterial rhinosinusitis or mass effect in the case of fungal ball or allergic fungal rhinosinusitis. 11, 12
25 mar 2011 · Acute, isolated sphenoid sinusitis is a rare but potentially devastating clinical entity. Missing this diagnosis can lead to permanent vision loss due to injury of the optic nerve. Patients may present with preseptal inflammation, lid edema, chemosis, or ophthalmoplegia.
