Rhinogenous optic neuritis with full recovery of vision – The role of endoscopic optic nerve decompression and a review of literature

Neo, Wei Li; Chin, David; Huang, Xin Yong

doi:10.1016/j.amjoto.2018.08.008

Cited by 8 publications

(9 citation statements)

References 24 publications

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“…The presence of bony dehiscence predisposes the spread of inflammation to the optic canal. This process exerts pressure on the optic nerve and can cause visual loss 9. Steroid pulse therapy has been suggested as a standard treatment for optic neuritis 11.…”

Section: Discussionmentioning

confidence: 99%

“…This process exerts pressure on the optic nerve and can cause visual loss. 9 Steroid pulse therapy has been suggested as a standard treatment for optic neuritis. 11 Therefore, our patient received steroid pulse therapy as an additional treatment for optic neuritis.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic endonasal optic nerve decompression involves removing the wall of the optic canal and decompression of the nerve, and is performed in patients with optic nerve damage caused by sphenoid or posterior ethmoid sinus lesions, maxillofacial trauma, or sellar tumors 7. Some studies have reported improvement in visual acuity after optic nerve decompression in patients with optic neuritis caused by sinusitis that does not respond to medication and endoscopic sinus surgery 8,9. Here, we describe the recovery of visual acuity after optic nerve decompression with the endoscopic endonasal approach in a patient with IFS who had a visual loss caused by invasion of the orbital apex.…”

mentioning

confidence: 97%

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Endoscopic Endonasal Optic Nerve Decompression in a Patient With Invasive Fungal Sinusitis Invasion Into the Orbital Apex: Intraoperative Video and Literature Review

Lee

Yoon

Kim

et al. 2022

Journal of Craniofacial Surgery

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Invasive fungal sinusitis (IFS) is rare but potentially fatal in immunocompromised patients. Orbital extension of IFS can cause visual loss or ophthalmoplegia, and the rate of recovery of visual acuity can be low even after treatment with antifungal agents and sinus surgery. In this case, optic nerve decompression with the endoscopic endonasal approach was successful for the treatment of visual loss in a patient with IFS with orbital apex extension. The authors describe the recovery of visual acuity after optic nerve decompression in a patient with IFS who had exhibited visual loss caused by invasion into the orbital apex. The authors also provide an intraoperative video and literature review.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 97%

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Endoscopic Endonasal Optic Nerve Decompression in a Patient With Invasive Fungal Sinusitis Invasion Into the Orbital Apex: Intraoperative Video and Literature Review

Lee

Yoon

Kim

et al. 2022

Journal of Craniofacial Surgery

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“…[20, 21] Besides, the swelling of paranasal sinus in patients with CRS can also lead to compressive injury of optic nerve and following compressive ON as revealed in previous studies. [18, 22] In addition, the inflammatory process accounts for the majority of etiology for ON including the viral, autoimmune-related or idiopathic subtypes. [23] The elevated inflammatory mediators including interleukin and IgE in the CRS might elevate the local inflammatory reaction,[24–26] then lead to the occurrence or progression of ON.…”

Section: Discussionmentioning

confidence: 99%

The development of optic neuropathy after chronic rhinosinusitis: A population-based cohort study

Nien

Lee

et al. 2019

PLoS ONE

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Background To evaluate the risk of developing optic neuropathy (ON) in patient with both non-surgery and surgery-indicated chronic rhinosinusitis (CRS) via the national health insurance research database in Taiwan. Methodology/Principal findings 44,176 Patients with a diagnostic code of CRS was selected, which included 6,678 received functional endoscopic sinus surgery (FESS) regarded as the surgery-indicated CRS. Each individual in the study group was matched to two non-CRS patients by age and gender. The outcome was set as the occurrence of ON according to the diagnostic codes occurred after the index date. Poisson regression was used to calculate the adjusted relative risk (aRR) and conditional Cox proportional model was used to estimate the adjusted hazard ratio (aHR). There were 131 and 144 events of ON occurred in the study group and the control group respectively during the follow-up period. The whole study group, whether received FESS or not, demonstrated both significant aRR and aHR compared to the control group after adjusting demographic data, prominent ocular diseases, and systemic co-morbidities. In addition, both the aRR and aHR were higher in CRS patient received FESS than those with CRS but without FESS management. Conclusion The existence of CRS, especially the surgery-indicated CRS is a significant risk factor for the following ON using multivariable analysis.

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“…Thin-layer imaging of the optic nerve is also useful. This can usually detect inflammation in the optic nerve and exclude tumour (e. g., optic sheath meningioma) or severe pansinusitis [17]. If the patient already has known MS, an MRI in the short term is not absolutely essential.…”

Section: External Diagnosticsmentioning

confidence: 99%

Current Recommendations on Optic Neuritis

Beisse

2020

Klin Monbl Augenheilkd

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Background Optic neuritis is a special challenge to the ophthalmologist. It is a relatively frequent condition but difficult to seize morphologically. It has neurological implications and is subject matter of recent trials. Methods Selective literature search including the authorsʼ professional experience. Results Practical aids for the ophthalmological management of optic neuritis are derived from the best available evidence and the recent literature is discussed. Conclusions The present paper provides evidence-based recommendations for a safe handling of optic neuritis as well as information on current issues.

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Rhinogenous optic neuritis with full recovery of vision – The role of endoscopic optic nerve decompression and a review of literature

Cited by 8 publications

References 24 publications

Endoscopic Endonasal Optic Nerve Decompression in a Patient With Invasive Fungal Sinusitis Invasion Into the Orbital Apex: Intraoperative Video and Literature Review

Endoscopic Endonasal Optic Nerve Decompression in a Patient With Invasive Fungal Sinusitis Invasion Into the Orbital Apex: Intraoperative Video and Literature Review

The development of optic neuropathy after chronic rhinosinusitis: A population-based cohort study

Current Recommendations on Optic Neuritis

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