시력저하를 보인 염증성 코곁굴 질환 환자들에 대한 임상적 고찰

• 영문명: Visual Loss due to Inflammatory Sinus Diseases
• 발행기관: 대한안과학회
• 저자명: 오동은 김윤덕,Dong Eun Oh, M.D., Yoon-Duck Kim, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number12, 1879~1886쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2006.12.31

영문 초록

Purpose: Visual loss secondary to inflammatory sinus diseases is an infrequent but disastrous complication. We analyzed the clinical features of patients with paranasal sinusitis who had signs of optic nerve dysfunction. Methods: Medical records of 10 patients (11 eyes), who presented with visual loss associated with inflammatory sinus diseases, were reviewed retrospectively. Results: The mean age was 53.7 years (range, 33-68 years). Involved sinuses were the sphenoid (10 eyes) and posterior ethmoid (7 eyes). The radiological evidence of orbital apex infiltration was shown in 8 eyes. Headache was the most common presenting symptom. The mean symptom duration before their first visit was 51.4 days. The underlying sinus pathology included fungal infection (5) and mucoceles (5). Fungal sinusitis and initially lower visual acuity were associated with poor visual prognosis, while mucocele showed good prognosis. Conclusions: The inflammatory sinus disease could leave a permanent visual deficit, especially in cases of fungal sinusitis and initially lower visual acuity. Multidisciplinary diagnostic and therapeutic approaches are essential to prevent serious ophthalmic complications such as permanent visual loss.

키워드

Paranasal sinus disease, Ophthalmic complications