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Surgery for paranasal sinusitis was effective in a case of rhinogenic optic neuritis Yuichi Kuramochi 1 , Riyo Uemoto 1 , Masaki Wakiya 1 , Naoko Nomura 1 , Yasuhito Ijima 1 , Tetsuro Tsubouchi 1 , Nobuhisa Mizuki 1 1Department of Opthalmology and Visual Science, Yokohama City University School of Medicine pp.421-425
Published Date 2017/3/15
DOI https://doi.org/10.11477/mf.1410212203
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Abstract Purpose: To report a case of rhinogenic optic neuritis that improved after surgery for chronic paranasal sinusitis.

Case: A 6-year-old girl was referred to us for pain in the left eye with impaired vision since 4 days before. She had been treated for chronic parasinusitis since 2 years before.

Findings and Clinical Course: Corrected visual acuity was 1.5 right and 0.03 left. The left eye showed swelling and hyperemia of optic disc. Perimetry showed central scotoma and defective nasal sector in the left eye. MRI showed swollen mucous membrane in the left sphenoidal and ethmoidal sinus. She was diagnosed with optic neuritis secondary to paranasal sinusitis. Endoscopic surgery was performed to clear and communicate the sphenoidal and ethmoidal sinuses, followed by systemic prednisolone. Surgery was followed by normalization of fundus findings and visual field. Left visual acuity improved to 1.5.

Conclusion: Surgery for paranasal sinusitis was effective in the present case of presumed rhinogenic optic neuritis.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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