Outcomes of surgically treated rhinogenic optic neuropathy

Acta Otolaryngol. 2011 Aug;131(8):833-9. doi: 10.3109/00016489.2011.557837. Epub 2011 Apr 5.

Abstract

Conclusion: The visual outcomes of endoscopic treatment of optic neuropathy are favorable. However, no specific prognostic factor was associated with good outcome.

Objective: To investigate visual outcomes of patients with optic neuropathy caused by paranasal mucocele or sinusitis.

Methods: The clinical course in 38 patients with rhinogenic optic neuropathy was investigated retrospectively. All patients underwent endoscopic sinus surgery and ophthalmologists measured preoperative and postoperative visual acuities.

Results: Visual acuity completely recovered in 31 patients and partially in 2 patients, and did not recover in 5 patients. Age, sex, sinus involved (ethmoid or sphenoid), preoperative visual acuity, abnormal fundus findings, duration of symptoms, steroid use, and coexistence of diabetes mellitus showed no significant correlation with full recovery.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Endoscopy / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Mucocele / complications*
  • Mucocele / surgery
  • Optic Nerve / physiology*
  • Optic Nerve Diseases / etiology
  • Optic Nerve Diseases / physiopathology
  • Optic Nerve Diseases / surgery*
  • Otorhinolaryngologic Surgical Procedures / methods*
  • Recovery of Function / physiology*
  • Retrospective Studies
  • Sinusitis / complications*
  • Sinusitis / surgery
  • Treatment Outcome
  • Visual Acuity
  • Young Adult