Ophthalmological Manifestations of ENT Diseases: An Overview

Ghosh, Debajyoti; Khanna, Swagata; Baruah, D. K.

doi:10.1007/s12070-011-0348-x

Cited by 4 publications

(7 citation statements)

References 10 publications

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“…This is in accordance to Sinha et al [9] who concluded that proptosis is the commonest clinical presentation in neoplastic lesions of nose and paranasal sinuses. This is also similar to Ghosh et al [10] according to which Proptosis followed by Preseptal cellulitis was the most common ocular manifestation secondary to ENT disorders.…”

Section: Demographicssupporting

confidence: 89%

Routes of Spread to Eye from the Notorious Neighbour i.e. Nose, Sinuses and Nasopharynx

Nazeer

Reddy

Ivaturi

et al. 2020

Indian J Otolaryngol Head Neck Surg

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Due to close anatomical relationship of eye with nose and sinuses it is liable to get involved secondary to sinonasal and nasopharyngeal pathology. Sinonasal and nasopharyngeal pathology may present with varied ophthalmic manifestations. Ocular involvement from sinonasal diseases occur due to direct spread to orbit, venous spread due to valveless nature of veins, cranial nerve involvement, nasolacrimal apparatus involvement and intracranial spread. The present study is to determine the sociodemographics, ocular manifestations due to sinonasal and nasopharyngeal pathology, etiological factors and routes of spread. The most common etiology in present study was sinonasal squamous cell carcinoma followed by nasal vestibulitis. The most common ocular pathology was proptosis followed by preseptal cellulitis. The most common route was erosion followed by compression and vascular. To conclude sinonasal and nasopharyngeal pathology can spread to orbit and increase the mortality and morbidity.

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Section: Demographicssupporting

confidence: 89%

Routes of Spread to Eye from the Notorious Neighbour i.e. Nose, Sinuses and Nasopharynx

Nazeer

Reddy

Ivaturi

et al. 2020

Indian J Otolaryngol Head Neck Surg

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“…This age distribution is quite similar to the findings reported by other Indian studies. 2,12 There was a slight female preponderance among this patient group; 31 (51.7%). There has been no consistency in gender distribution across studies of this nature.…”

Section: Per-centage Discussionmentioning

confidence: 76%

“…14 The prevalence of proptosis was somewhat comparable to that of a similar Indian study which reported that among 62 patients, 30.64% patients had lagophthalmos and 20.96% had proptosis. 2 In many studies which looked into ophthalmological symptoms associated specifically with sinonasal disorders, proptosis was reported as the most common symptom. A large majority (81%) had proptosis followed by diplopia (23%) when 100 patients who had orbital involvement following sinonasal diseases were evaluated.…”

Section: Per-centagementioning

confidence: 99%

“…Similar finding of good response to medical management of patients in early stages were reported by other researchers as well. 2 Majority (71.7%) of patients had surgical interventions. The principles of and indications for treatment follow recognised treatment practices.…”

Section: Per-centagementioning

confidence: 99%

“…Fissures and foramina of the bony orbit are also natural pathways for spread of pathology of nose, paranasal sinuses and nasopharynx to the orbit. 2 Causes of orbital complications from diseases of the nose and paranasal sinuses include direct spread from the sinuses into the orbit; involvement of the nerves supplying the orbit and involvement of nasolacrimal apparatus. 3 Orbital involvement in sinonasal diseases can present as proptosis, ophthalmoplegia or even as blindness due to optic nerve damage.…”

mentioning

confidence: 99%

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Ophthalmological Symptom Presentations in Ear, Nose and Throat Diseases - A Cross-sectional Study from a South Indian Centre

Manjumol

Asha

Ahmed

2022

BJOHNS

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Introduction Ophthalmological symptoms are common in ear, nose and throat conditions. Orbital involvement and ophthalmological presentations may be indicative of the extensive and aggressive nature of the pathology. This study evaluated the causes of various ophthalmological presentations in relation to primary ENT diseases in patients attending the ENT Department of a government tertiary referral teaching hospital. Material and Methods Sixty patients with ophthalmological presentations arising out of primary ENT diseases were assessed in detail. Comprehensive physical, ophthalmological and ENT examinations were done. Ophthalmological and ENT diagnoses, treatment details, outcome and complications if any were also noted. Results Most number of patients were in the age group 51 to 60 years (14; 23.4%). Most common ophthalmological symptom was periorbital oedema (51.6%) followed by epiphora (48.3%); the most common ENT symptom was headache (50%) followed by nasal discharge (48.3%). Most common diagnosis among patients was sinusitis (46.7%) followed by mucocele (21.7%). Most common (47%) otorhinological diagnosis associated with proptosis in this study was infections in the form of orbital cellulitis or abscess associated with sinusitis. Majority (43, 71.7%) of the study sample had surgical management. Conclusion This study reiterates the need for a high index of suspicion from the part of the ophthalmologist to look beyond eye diseases as causes for ophthalmological presentations and from the part of otorhinolaryngologist to be aware of various non-ENT symptoms secondary to ear, throat and nose diseases. A close collaboration between the ophthalmology and ENT departments is essential in successful management of such patients.

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Otorhinolaryngological spectrum of diseases leading to Ophthalmological presentation in eye out patient department: An overview

Singh,

Gulati,

Jain

et al. 2023

IJOAS

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Orbital complications are not so uncommon in ENT diseases. Being an adjacent structure, orbit is commonly involved which can be further complicated by vision loss and intracranial spread of infection and sometimes mortality. In this scenario proper imaging and and newer generation antibiotics can be a game changer. The study aims to demonstrate Ophthalmological manifestations in relation to otorhinolaryngological diseases. This was a retrospective observational study conducted in Eye outpatient department of Regional Hospital, Himachal Pradesh for the period of 1 year from July 2022 to June 2023. In a retrospective investigation, 28 cases of ophthalmological symptoms with root cause of various ENT disorders, mostly paranasal tumour expansions, nasopharyngeal tumour, and nasal furunculosis, were examined in connection to their age, gender, clinical, radiological, and histopathological profile. The most dependable investigating tool was considered as CT scan. Accordingly medical and surgical treatment were adopted owing to location and disease nature. A good cooperation and follow up is needed between ophthalmologist and otolaryngologist to overcome this challenge. A total of 28 patients who met the eligibility criteria were enrolled in the study. Average age of presentation was 36.2 years with 17 males and 11 females. Proptosis was the most common orbital manifestation found in 32.4% cases (n=9). Lagopthalmos was found in 25% cases (n=7) and preseptal cellulitis was found in 14.28% cases (n=4). Orbital cellulitis and cavernous sinus thrombosis was found in 7.14% cases (n=2). Orbital apex syndrome was found in 3.57% cases (n=1). To save the patient from Ophthalmological morbidity and maybe mortality, a high index of suspicion of early orbital involvement by thorough ENT examination is required. A team effort consisting of ophthalmologist and otorhinolaryngologist, acting jointly is needed in order to identify the underlying disease process and provide the appropriate care.

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Ophthalmological Manifestations of ENT Diseases: An Overview

Cited by 4 publications

References 10 publications

Routes of Spread to Eye from the Notorious Neighbour i.e. Nose, Sinuses and Nasopharynx

Routes of Spread to Eye from the Notorious Neighbour i.e. Nose, Sinuses and Nasopharynx

Ophthalmological Symptom Presentations in Ear, Nose and Throat Diseases - A Cross-sectional Study from a South Indian Centre

Otorhinolaryngological spectrum of diseases leading to Ophthalmological presentation in eye out patient department: An overview

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