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Salvaging Vision: A Study of Non-Traumatic Optic Neuropathies.

Hetal Marfatia¹, Anoushka Sahai¹, Monankita Sharma¹

¹Department of ENT and Head-Neck Surgery, Seth G.S. Medical College and King Edward Memorial Hospital, Mumbai, India.

Journal of Rhinology : Official Journal of the Korean Rhinologic Society

|December 12, 2024

Summary

Ear, nose, and throat conditions can cause vision loss. This study found that medical management and surgical decompression significantly improved vision in 10 out of 11 patients with ENT-related vision impairment.

Keywords:

Fibrous dysplasia Mucocele Non-traumatic Optic nerve decompression Sinusitis

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Area of Science:

Otorhinolaryngology
Ophthalmology
Neurology

Background:

Ear, nose, and throat (ENT) conditions are increasingly recognized as potential causes of vision loss.
Understanding the link between ENT pathologies and visual impairment is crucial for timely diagnosis and intervention.

Purpose of the Study:

To identify the causes, clinical presentations, and radiological findings of vision loss associated with ENT conditions.
To discuss management strategies, including optic nerve and orbital decompression.

Main Methods:

A retrospective analysis of 11 patients with progressive vision loss due to ENT conditions was conducted between 2016 and 2022.
Patients received intravenous antibiotics, high-dose steroids, followed by endoscopic optic nerve or orbital decompression.

Main Results:

10 out of 11 patients treated with medical management and subsequent surgery showed significant improvement in vision.
The study documented the outcomes and evaluated any complications following the interventions.

Conclusions:

Effective management of ENT-related vision loss requires identifying the underlying etiology and employing appropriate treatment protocols.
Otorhinolaryngologists can achieve successful outcomes by understanding pathophysiology and utilizing clinical and radiological surveillance.