Orbital and sinus inflammation with secondary optic neuropathy
- PMID: 1746817
Orbital and sinus inflammation with secondary optic neuropathy
Abstract
Optic neuropathy with simultaneous orbital and sinus inflammation is a diagnostic dilemma. Although sinus inflammation was described previously as causative in some cases of optic neuritis, the relatively high rate of asymptomatic sinus opacification in radiologic studies of the general population (as high as 13%) makes this a diagnosis of exclusion. We describe a patient who had optic neuropathy associated with simultaneous orbital and sinus inflammation. Although definitive determination of etiology may not be made without tissue biopsy, cases suspected of having a bacterial etiology may benefit from an initial 48-hour trial of intravenous antibiotics before initiation of systemic corticosteroids.
Similar articles
-
Orbital inflammation and optic neuropathies associated with chronic sinusitis of intranasal cocaine abuse. Possible role of contiguous inflammation.Arch Ophthalmol. 1989 Jun;107(6):831-5. doi: 10.1001/archopht.1989.01070010853028. Arch Ophthalmol. 1989. PMID: 2730401
-
Aspergillosis presenting as a corticosteroid-responsive optic neuropathy.J Clin Neuroophthalmol. 1982 Jun;2(2):103-7. J Clin Neuroophthalmol. 1982. PMID: 6226691
-
A case of nodular fasciitis causing compressive optic neuropathy.Ophthalmic Plast Reconstr Surg. 2014 Mar-Apr;30(2):e47-9. doi: 10.1097/IOP.0b013e31829bb265. Ophthalmic Plast Reconstr Surg. 2014. PMID: 23924989
-
Chronic orbital inflammatory disease and optic neuropathy associated with long-term intranasal cocaine abuse: 2 cases and literature review.Orbit. 2017 Oct;36(5):350-355. doi: 10.1080/01676830.2017.1337178. Epub 2017 Aug 16. Orbit. 2017. PMID: 28812909 Review.
-
[Orbital complications in purulent-inflammatory diseases of paranasal sinuses: diagnosis and therapy].Vestn Oftalmol. 2003 Nov-Dec;119(6):49-51. Vestn Oftalmol. 2003. PMID: 14708181 Review. Russian. No abstract available.
Cited by
-
Sphenoethmoidal mucocele presenting with unilateral visual loss.Eye Brain. 2010 Sep 15;2:117-120. doi: 10.2147/EB.S9719. eCollection 2010. Eye Brain. 2010. PMID: 28539770 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Medical