A Case of Optic Neuritis in Acute Sphenoid Sinusitis.

Jang, Ji Hea; Kim, Yu Cheol; Chang, Sung Dong; Lee, Se Youp; Kim, Kwang Soo

doi:2007.48.12.1742

J Korean Ophthalmol Soc > Volume 48(12); 2007 > Article

Case Report

Journal of the Korean Ophthalmological Society 2007;48(12):1742-1746.
DOI: https://doi.org/10.3341/jkos.2007.48.12.1742 Published online December 31, 2007.

A Case of Optic Neuritis in Acute Sphenoid Sinusitis.

Ji Hea Jang, Yu Cheol Kim, Sung Dong Chang, Se Youp Lee, Kwang Soo Kim

Department of Ophthalmology, Dongsan Hospital, College of Medicine, Keimyung University, Daegu, Korea. eyedr@dreamwiz.com

접형동 부비동염 환자에서 발생한 시신경염 1예

장지혜,김유철,장성동,이세엽,김광수

Department of Ophthalmology, Dongsan Hospital, College of Medicine, Keimyung University, Daegu, Korea

Correspondence: Yu Cheol Kim, M.D.

Abstract

PURPOSE
We encountered a rare case of optic neuritis that developed in a sphenoid sinusitis. This case has not been reported at any of the Korean Ophthalmological Society meetings. CASE SUMMARY: A 12-year-old boy with swollen optic disc was diagnosed with optic neuritis secondary to sphenoid sinusitis, through orbit MRI (magnetic resonance imaging) and paranasal sinus CT (computed tomography). We observed the recovery of visual acuity and the improvement of papilledema after treatment. In the initial examination, the BCVA (best-corrected visual acuity) of the right eye was only hand movement. Papilledema was detected by ophthalmoscopy. Orbit MRI and paranasal sinus CT were then performed, which revealed that sphenoid sinusitis had invaded the right optic nerve. Treatment included the use of antibiotics, systemic steroid therapy, and endoscopic sinus surgery. One month after treatment, the BCVA of the right eye was 1.0 and the papilla of right eye had a normal ophthalmoscopic finding. CONCLUSIONS: Sphenoid sinusitis can be a cause of optic neuritis. The treatment of optic neuritis caused by paranasal sinusitis must include antibiotics use or endoscopic sinus surgery to remove the sinus inflammation as well as high dose steroid therapy.

Key Words: Endoscopic sinus surgery;Optic neuritis;Sphenoid sinusitis