Bilateral Blindness Due to Acute Isolated Sphenoid Sinusitis- Is It Reversible? A Case Report

Authors

  • Roshan Kumar Verma Postgraduate Institute of Medical Education and Research, Chandigarh
  • Naresh K Panda Postgraduate Institute of Medical Education and Research, Chandigarh

DOI:

https://doi.org/10.3329/jom.v15i2.20700

Keywords:

Acute isolated sphenoid sinuitis, bilateral vision loss, endoscopic sphenoidotomy, reversible blindness

Abstract

Acute isolated sphenoid sinusitis is a rare and is seen in only 3% of all cases of all sinusitis. It is frequently misdiagnosed because of its vague clinical presentation. We report a case of 35year old female who presented to our emergency department with complaints of painless rapidly developing bilateral vision loss. Non contrast computed tomography of paranasal sinuses showed only mild opacification of sphenoid sinus. Endoscopic sphenoidectomy was performed within 4 hrs of presentation. After 48 hrs of surgery the patient vision returned to 6/6 bilaterally. Acute sphenoid sinusitis should be considered in the differential diagnosis of acute vision loss. Awareness, early diagnosis, astute clinical sense and emergent intervention can prevent permanent complication.

DOI: http://dx.doi.org/10.3329/jom.v15i2.20700

J MEDICINE 2014; 15 : 146-148

Downloads

Download data is not yet available.
Abstract
114
PDF
85

Author Biographies

Roshan Kumar Verma, Postgraduate Institute of Medical Education and Research, Chandigarh

Department of Otolarngology and Head & Neck surgery

Naresh K Panda, Postgraduate Institute of Medical Education and Research, Chandigarh

Department of Otolarngology and Head & Neck surgery

Downloads

Published

2014-10-21

How to Cite

Verma, R. K., & Panda, N. K. (2014). Bilateral Blindness Due to Acute Isolated Sphenoid Sinusitis- Is It Reversible? A Case Report. Journal of Medicine, 15(2), 146–148. https://doi.org/10.3329/jom.v15i2.20700

Issue

Vol. 15 No. 2 (2014)

Section

Case Reports

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).