A Case of Optic Nerve Decompression in a Patient with Retrobulbar Neuritis Secondary to Paranasal Sinusitis.
- Author:
Byoung Joon BAEK
1
;
Hee Joong KIM
;
Je Hwan CHOI
;
Cheon Hwan OH
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Chonan Hospital, College of Medicine, Soonchunhyang University, Chonan, Korea. bjbaek@sparc.sch.co.kr
- Publication Type:Case Report
- Keywords:
Optic neuritis;
Sinusitis;
Optic nerve;
Decompression
- MeSH:
Adrenal Cortex Hormones;
Adult;
Anti-Bacterial Agents;
Decompression*;
Demyelinating Diseases;
Humans;
Multiple Sclerosis;
Optic Nerve*;
Optic Neuritis*;
Orbit;
Papilledema;
Retinitis;
Sinusitis*;
Sphenoid Sinus;
Visual Acuity
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2000;43(12):1355-1358
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Optic neuritis (ON) is an acute or subacute inflammatory or demyelination process affecting the optic nerve. ON can be classified ophthalmologically as retrobulbar neuritis, papillitis, neuroretinitis. Retrobulbar neuritis, in which the optic disc appearance is normal, is the most common type of ON in adults. Multiple sclerosis is the most common cause of ON, but in many cases no apparent etiology is found. Paranasal sinusitis as a cause of ON is rare. Management of retrobulbar neuritis which is combined with paranasal sinusitis is controversial. Recently, we experienced a case of retrobulbar neuritis which was combined with paranasal sinusitis without orbital complication. It was treated by endoscopic sinus surgery and endoscopic optic nerve decompression in addition to intravenous antibiotics and corticosteroids. Visual acuity was improved nearly to a normal state after the treatment. The most possible pathophysiologic mechanism of retrobulbar neuritis may be the direct spread of infection of the sphenoid sinus to the optic nerve.
