Outcomes of surgically treated rhinogenic optic neuropathy

The visual outcomes of endoscopic treatment of optic neuropathy are favorable. However, no specific prognostic factor was associated with good outcome.

To investigate visual outcomes of patients with optic neuropathy caused by paranasal mucocele or sinusitis.

The clinical course in 38 patients with rhinogenic optic neuropathy was investigated retrospectively. All patients underwent endoscopic sinus surgery and ophthalmologists measured preoperative and postoperative visual acuities.

Visual acuity completely recovered in 31 patients and partially in 2 patients, and did not recover in 5 patients. Age, sex, sinus involved (ethmoid or sphenoid), preoperative visual acuity, abnormal fundus findings, duration of symptoms, steroid use, and coexistence of diabetes mellitus showed no significant correlation with full recovery.