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Visual loss in patients with sphenoethmoidal cells.

J Rimmer1, T Beale2, V J Lund1

  • 1Department of Otolaryngology,Nose and Ear Hospital,London,UK.

The Journal of Laryngology and Otology
|February 20, 2015
PubMed
Summary

Sphenoethmoidal cells, when diseased, can cause vision loss due to optic nerve proximity. This highlights the importance of considering these cells in optic neuropathy and rhinosinusitis cases.

Keywords:
Optic Neuropathy

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Area of Science:

  • Otolaryngology
  • Neuro-ophthalmology

Background:

  • A sphenoethmoidal cell is an ethmoid air cell located near the sphenoid sinus.
  • Its anatomical proximity to the optic nerve poses a risk for visual disturbances.

Observation:

  • Four cases of chronic rhinosinusitis involving sphenoethmoidal cells were identified.
  • Two of these cases presented with significant visual loss.

Findings:

  • Pathology in sphenoethmoidal cells can lead to optic neuropathy.
  • These cells are associated with increased optic nerve protrusion and dehiscence.

Implications:

  • Sphenoethmoidal cell pathology should be considered in patients with optic neuropathy.
  • Even uncomplicated rhinosinusitis warrants consideration of sphenoethmoidal cells due to potential optic nerve involvement.