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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

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Acute sphenoid sinusitis induced blindness: a case report.

Shawn C Reynolds¹, Elizabeth M Evans

¹Department of Emergency Medicine, Lehigh Valley Hospital and Health Network, Allentown, Pennsylvania 18103, USA.

The Journal of Emergency Medicine

|November 11, 2011

Summary

This summary is machine-generated.

Acute sphenoid sinusitis can cause sudden vision loss. Prompt diagnosis and endoscopic sphenoidotomy in children can restore vision and prevent permanent optic nerve damage.

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Area of Science:

Otolaryngology
Ophthalmology
Pediatric Emergency Medicine

Background:

Acute, isolated sphenoid sinusitis is a rare condition with severe potential consequences, including permanent vision loss from optic nerve injury.
Symptoms may include preseptal inflammation, eyelid edema, chemosis, or ophthalmoplegia.

Observation:

A 10-year-old child presented with painless, progressive vision loss in one eye over 5 days.
Examination revealed decreased visual acuity, a non-reactive pupil, and elevated intraocular pressures.

Findings:

Magnetic resonance imaging confirmed acute sphenoid sinusitis compressing and compromising the optic nerve.
The diagnosis was established in a pediatric patient presenting with acute vision loss.

Implications:

Sphenoid sinusitis must be considered in the differential diagnosis of acute vision loss, especially in pediatric cases.
Early diagnosis and intervention, such as endoscopic sphenoidotomy, are crucial for preventing permanent visual complications.