Re: Vision loss due to sinusitis

[Guest guest]

My eyesight has diminished since my third polyp surgery to the point I am now short and long sighted. I notice my eyesight seems weaker though when I'm experiencing sinus problems.

samters From: asfyso@...Date: Sun, 31 Jul 2011 14:24:21 +0000Subject: Vision loss due to sinusitis

This patient's polyps compressed and inflamed one of his optical nerves to the point that he woke up one morning and could not see from one eye. Despite same-day sinus surgery and anti-inflammatory treatment, he did not recover.

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Clin Ophthalmol. 2011;5:853-6. Epub 2011 Jun 23.

A case of eosinophilic chronic rhinosinusitis associated with optic neuropathy.

Kurimoto T, Tonari M, Ishizaki N, Matsuo J, Oku H, Sugasawa J, Ikeda T.

Source

Department of Ophthalmology, Osaka Medical College, Osaka, Japan.

Abstract

We report a case of eosinophilic chronic rhinosinusitis (ECRS) associated with optic neuropathy. The visual acuity in the right eye was suddenly reduced to no light perception on awakening in the morning. Fundus examination of both eyes on the same day showed no remarkable changes. Emergency computed tomography showed pan-sinusitis bilaterally and a partial defect of the sphenoid bone on the right side. From the clinical findings, the case was diagnosed as optic neuropathy associated with chronic sinusitis. Endoscopic sinus surgery (ESS) was performed on the same day, and all of the major sinuses were found to be filled with highly viscous fluid. Part of the optic canal had a defect probably due to inflammatory invasion from the adjacent sphenoid bone. Steroid therapy was started immediately postoperatively. Histopathological examination of excised polyps showed that numerous eosinophils had invaded the polyps but no hyphae were present. The patient reported that he had bronchial asthma and had had nasal polypectomy. Six months after the ESS and steroid therapy, the patient had a recurrence of the sinusitis. At that time, laboratory examination showed an elevation of total IgE and eosinophil numbers. From the clinical findings and course, this case was diagnosed as ECRS accompanied by optic neuropathy. Although ECRS rarely has ocular complications, the inflammation can spread and the optic nerve can be affected.

[Guest guest]

,

Is your vision worse when you use more irrigated steroids ?

>

>

> My eyesight has diminished since my third polyp surgery to the point I am now

short and long sighted. I notice my eyesight seems weaker though when I'm

experiencing sinus problems.

>

>

>

>

>

> samters

> From: asfyso@...

> Date: Sun, 31 Jul 2011 14:24:21 +0000

> Subject: Vision loss due to sinusitis

>

>

>

>

>

>

>

> This patient's polyps compressed and inflamed one of his optical nerves to the

point that he woke up one morning and could not see from one eye. Despite

same-day sinus surgery and anti-inflammatory treatment, he did not recover.

> --------------

>

>

>

>

>

> Clin Ophthalmol. 2011;5:853-6. Epub 2011 Jun 23.

> A case of eosinophilic chronic rhinosinusitis associated with optic

neuropathy.

> Kurimoto T, Tonari M, Ishizaki N, Matsuo J, Oku H, Sugasawa J, Ikeda T.

>

> Source

> Department of Ophthalmology, Osaka Medical College, Osaka, Japan.

>

> Abstract

> We report a case of eosinophilic chronic rhinosinusitis (ECRS) associated with

optic neuropathy. The visual acuity in the right eye was suddenly reduced to no

light perception on awakening in the morning. Fundus examination of both eyes on

the same day showed no remarkable changes. Emergency computed tomography showed

pan-sinusitis bilaterally and a partial defect of the sphenoid bone on the right

side. From the clinical findings, the case was diagnosed as optic neuropathy

associated with chronic sinusitis. Endoscopic sinus surgery (ESS) was performed

on the same day, and all of the major sinuses were found to be filled with

highly viscous fluid. Part of the optic canal had a defect probably due to

inflammatory invasion from the adjacent sphenoid bone. Steroid therapy was

started immediately postoperatively. Histopathological examination of excised

polyps showed that numerous eosinophils had invaded the polyps but no hyphae

were present. The patient reported that he had bronchial asthma and had had

nasal polypectomy. Six months after the ESS and steroid therapy, the patient had

a recurrence of the sinusitis. At that time, laboratory examination showed an

elevation of total IgE and eosinophil numbers. From the clinical findings and

course, this case was diagnosed as ECRS accompanied by optic neuropathy.

Although ECRS rarely has ocular complications, the inflammation can spread and

the optic nerve can be affected.

>

[Guest guest]

To be honest I haven't taken a great deal of notice but now that you mention it, I'll be sure to keep closer attention. I've just started back on prednisone and nasonex so will give it a short time and let you know.

Thanks

samters From: asfyso@...Date: Sun, 31 Jul 2011 22:05:20 +0000Subject: Re: Vision loss due to sinusitis

,Is your vision worse when you use more irrigated steroids ?>> > My eyesight has diminished since my third polyp surgery to the point I am now short and long sighted. I notice my eyesight seems weaker though when I'm experiencing sinus problems.> > > > > > samters > From: asfyso@...> Date: Sun, 31 Jul 2011 14:24:21 +0000> Subject: Vision loss due to sinusitis> > > > > > > > This patient's polyps compressed and inflamed one of his optical nerves to the point that he woke up one morning and could not see from one eye. Despite same-day sinus surgery and anti-inflammatory treatment, he did not recover.> --------------> > > > > > Clin Ophthalmol. 2011;5:853-6. Epub 2011 Jun 23.> A case of eosinophilic chronic rhinosinusitis associated with optic neuropathy.> Kurimoto T, Tonari M, Ishizaki N, Matsuo J, Oku H, Sugasawa J, Ikeda T.> > Source> Department of Ophthalmology, Osaka Medical College, Osaka, Japan.> > Abstract> We report a case of eosinophilic chronic rhinosinusitis (ECRS) associated with optic neuropathy. The visual acuity in the right eye was suddenly reduced to no light perception on awakening in the morning. Fundus examination of both eyes on the same day showed no remarkable changes. Emergency computed tomography showed pan-sinusitis bilaterally and a partial defect of the sphenoid bone on the right side. From the clinical findings, the case was diagnosed as optic neuropathy associated with chronic sinusitis. Endoscopic sinus surgery (ESS) was performed on the same day, and all of the major sinuses were found to be filled with highly viscous fluid. Part of the optic canal had a defect probably due to inflammatory invasion from the adjacent sphenoid bone. Steroid therapy was started immediately postoperatively. Histopathological examination of excised polyps showed that numerous eosinophils had invaded the polyps but no hyphae were present. The patient reported that he had bronchial asthma and had had nasal polypectomy. Six months after the ESS and steroid therapy, the patient had a recurrence of the sinusitis. At that time, laboratory examination showed an elevation of total IgE and eosinophil numbers. From the clinical findings and course, this case was diagnosed as ECRS accompanied by optic neuropathy. Although ECRS rarely has ocular complications, the inflammation can spread and the optic nerve can be affected.>