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Antibiotic responsive exophthalmos and lateral rectus paralysis
1Department of Ophthalmology, Indiana University School of Medicine, Indianapolis 46202.
Annals of Ophthalmology
|May 1, 1991
Summary
Sinusitis can cause exophthalmos (protruding eyes) in adults, even with antibiotic use. This case highlights sinusitis as a rare cause of eye muscle paralysis and other orbital issues.
Area of Science:
- Ophthalmology
- Otorhinolaryngology
- Neurology
Background:
- Sinusitis is an uncommon cause of exophthalmos in adults, particularly since the widespread use of antibiotics.
- Periorbital complications of sinusitis are known, but specific presentations can be rare.
Observation:
- A rare case of exophthalmos with apparent sixth cranial nerve palsy was observed.
- This complication occurred in the absence of ipsilateral sphenoidal sinusitis, a previously unreported association.
Findings:
- The patient was successfully treated with oral antibiotics.
- This suggests sinusitis should be considered in adult exophthalmos cases.
Implications:
- Sinusitis is a treatable cause of exophthalmos and diverse orbital complications.
- Consider sinusitis in the differential diagnosis for isolated lateral rectus paralysis and acquired Brown's syndrome.