Central retinal vein occlusion due to optic nerve invasion by metastasis from malignant peripheral nerve sheath tumour

Kuberappa, Ranjitha Gowdar; Kumar, Vinod

doi:10.4103/ijmr.ijmr_2164_19

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“…Causes of rhinogenic visual disturbance can be classified into three categories: infection/inflammation in the sinuses directly or indirectly affecting the optic nerve, mucous cyst of the ethmoid sinus (especially the posterior ethmoidal sinus) and sphenoid sinus pressing on the optic nerve, and tumoral lesions in the orbit or sinus cavities invading and compressing the optic nerve [1,2].…”

Section: Discussionmentioning

confidence: 99%

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Clinical Evaluation of Acute Rhinogenic Visual Disturbances

Akutsu¹,

Tsunemi²

2023

J Otolaryngol Res & Rep

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Objective: To Analyze the time to treatment and visual prognosis of patients who presented with visual disturbance caused by sinus disease. Methods: We retrospectively analyzed the post-surgery clinical course and visual acuity of 23 patients (24 sides) with rhinogenic visual disturbances from Dokkyo Medical University, Tochigi, Japan. Sinus diseases were classified into three groups: infection/inflammation (7 patients), mucocele (8 patients [9 sides]), and tumor (8 patients). Results: Most patients (68%) were first admitted to the ophthalmology department and then referred to us. Patients with eye pain and ocular swelling were examined before those without symptoms (p < 0.05). In particular, the infection/inflammation group was more likely to present with symptoms other than vision loss and thus visit the rhinologists earlier. The infection/inflammation and mucocele groups showed improvement in visual acuity after surgery (p < 0.05). Conclusions: Early consultation and surgical treatment were shown to be effective in the infection/inflammation and mucocele groups. For early rhinologist consultation, imaging studies should be performed for accurate diagnosis. Patients should be educated about the disease and encouraged to seek correct medical attention as early as possible.

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Section: Discussionmentioning

confidence: 99%

“…Past reports of sinus diseases resulting in acute visual disturbances can be classified into optic neuritis and optic neuropathy [1]. Visual disturbances may occur due to the invasion or compression of the optic nerve by a tumorous lesion [2].…”

Section: Introductionmentioning

confidence: 99%

Clinical Evaluation of Acute Rhinogenic Visual Disturbances

Akutsu¹,

Tsunemi²

2023

J Otolaryngol Res & Rep

View full text Add to dashboard Cite

show abstract

Central retinal vein occlusion due to optic nerve invasion by metastasis from malignant peripheral nerve sheath tumour

Cited by 1 publication

References 0 publications

Clinical Evaluation of Acute Rhinogenic Visual Disturbances

Clinical Evaluation of Acute Rhinogenic Visual Disturbances

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