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

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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

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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

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