Antibiotic responsive exophthalmos and lateral rectus paralysis.
Sinusitis is an unusual cause of exophthalmos in adults since the advent of antibiotics. Many periorbital complications of sinusitis have been described; however exophthalmos associated with apparent sixth cranial nerve palsy in the absence of ipsilateral sphenoidal sinusitis is a rare and, to our knowledge, unreported complication of sinusitis. We report such a case that was treated with oral antibiotics. We believe that sinusitis must always be considered in adults as a treatable cause of exophthalmos and various orbital complications from isolated lateral rectus paralysis to acute-onset, acquired Brown's syndrome.
Moorthy
R S
RS
Department of Ophthalmology, Indiana University School of Medicine, Indianapolis 46202.
Yung
C W
CW
D000010:Abducens Nerve; D000328:Adult; D000658:Amoxicillin / Q000008:administration & dosage; D019818:Clavulanic Acid; D002969:Clavulanic Acids / Q000008:administration & dosage; D003389:Cranial Nerve Diseases / Q000000981:diagnostic imaging; D004359:Drug Therapy, Combination / Q000627:therapeutic use*; D005094:Exophthalmos / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D009220:Myositis / Q000150:complications / Q000209:etiology; D009886:Ophthalmoplegia / Q000000981:diagnostic imaging / Q000209:etiology*; D012852:Sinusitis / Q000150:complications / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
D002969:Clavulanic Acids; D019818:Clavulanic Acid; D000658:Amoxicillin