Effect of sinus surgery on visual disturbance caused by spheno-ethmoid mucoceles.
Fifteen patients suffering from visual disturbance of varying degrees caused by a mucocele of the posterior ethmoid and/or sphenoid sinuses underwent marsupialization of a mucocele into the nasal cavity. Five of the eight patients with severe visual loss worse than 20/200 showed recovery of measurable vision. Two of these five were operated on within 24 hours after the onset of visual loss and showed marked recovery to 20/25 and 20/15. The other seven patients who had relatively mild visual disturbance experienced improvement of visual acuity or remission of subjective complaints such as blurred vision post-operatively. During operation partial bony defect was found in the optic canal in 12 patients and in the skull base in 12 patients. A good understanding of this disease by ophthalmologists and otolaryngologists is essential for early diagnosis and prompt surgical treatment to avoid permanent visual dysfunction and operative sequelae.
Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Ehime University, Japan.
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E
Yumoto
M
M
Hyodo
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S
Kawakita
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R
Aibara
D000328:Adult; D004724:Endoscopy; D005005:Ethmoid Sinus / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000150:complications* / Q000601:surgery*; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000601:surgery*; D009900:Optic Nerve; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D012074:Remission Induction; D012189:Retrospective Studies; D013101:Sphenoid Sinus / Q000601:surgery*; D016896:Treatment Outcome; D015354:Vision, Low / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D014792:Visual Acuity