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副鼻腔炎と視器との因果関係は,古くから論ぜられ,特に副鼻腔炎に原因する眼合併症に関する研究は,英国医学会に於けるOnodi(1905)の発表を嚆失とす。
私達は先に,所謂鼻性視神経炎が,副鼻腔炎根治手術により,急速に視力の回復を見た経験を有する所から,眼底所見を伴わない所謂弱視として処理されている視力障碍の患者にも,何らかの変化があるのではないかとの疑問の下に,国立筑紫病院耳鼻咽喉科に於ける副鼻腔炎患者に就いて観察した結果,興味ある成績を得たので報告する。
NISHIKAWA and SUYEYOSHI state that they have successfully rendered recovery of visionary impairment by performing operations on paranasal sinuses. Seventeen patients complained of impairment of vision but, the examination of the fundus in these patients showed no pathological changes. However, the examination of the nose revealed 29 sides which were involved with sinusitis. For treatment of these sinusitis radical procedures were instituted. Visionary improvement and cure was established in 44. 82 percent of patients. Where patients were treated for their sisnusitis under non-surgical measure no visionary improvement was noted. The authors are of the opinion that when visionary impairment occur withont pathology cf the fundus, that impairment may be due to the influence of which sinusitis being the offender and eardication of the source of offence, sinusitis, may cause a complete recovery of vision.
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