The management of acute visual loss after sinus surgery--two cases of rhinogenic optic neuropathy.

摘要

INTRODUCTION: Different causative mechanisms of ophthalmic complications during endonasal sinus surgery have been reported. Only a few cases of blindness caused by affections of the optic nerve due to inflammatory paranasal sinus disease have been described. OBJECTIVE: Inflammatory optic neuropathy shall be considered among the causative factors for amaurosis after sinus surgery. MATERIAL: We present two patients with dramatic visual decrease occurring two weeks after sinus surgery as a result of inflammatory posterior paranasal sinus disease. RESULTS AND CONCLUSION: Our therapy including surgical intervention in form of orbital or optic nerve decompression accompanied by systemic steroids and antibiotic therapy resulted in a significant increase of visual acuity in one case and a complete restoration of vision in the other case. In these two cases surgical intervention in the described fashion along with systemic steroids and antibiotic therapy represented a successful therapeutical approach.