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Coexistent Optic Neuritis and Isolated Acute Sphenoid Sinusitis

JOURNAL TITLE: Clinical Rhinology

Author

1. MG Rajiniganth
2. Usha R Kim
3. Mahesh Kumar

ISSN

0974-4630

DOI

10.5005/jp-journals-10013-1010

Volume

Issue

Publishing Year

2009

Pages

Author Affiliations

Center for Molecular Imaging, University of Michigan, Ann Arbor, USA

Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai Tamil Nadu, India

Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai Tamil Nadu, India

Article keywords

Sphenoid sinus, optic canal, visual acuity

Abstract

Abstract

We report two cases of optic neuritis associated with isolated acute sphenoid sinusitis. This is the first report of isolated sphenoid sinusitis with dehiscent optic canal with exposed nerve presented with optic neuritis without any orbital inflammation. In both cases visual acuity deteriorated with steroid therapy, CT scan showed air fluid in the sphenoid sinus with dehiscent optic canal. Antibiotic, sphenoidotomy and later steroid course had a partial recovery in vision.