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Related Experiment Videos

Visual loss associated with orbital and sinus diseases.

A J Maniglia, F G Kronberg, W Culbertson

    The Laryngoscope
    |August 1, 1984
    PubMed
    Summary

    Infectious processes and trauma are primary causes of vision loss in orbital and sinus diseases. Prompt surgical intervention can restore vision in some cases, highlighting the importance of early diagnosis.

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    Area of Science:

    • Ophthalmology
    • Otorhinolaryngology
    • Neurology

    Background:

    • Orbital and sinus diseases can lead to significant visual impairment.
    • Infections, trauma, and neoplasms are common etiologies for visual loss in these conditions.

    Purpose of the Study:

    • To analyze the causes and outcomes of visual loss associated with orbital and sinus diseases.
    • To evaluate the efficacy of surgical interventions in managing these conditions.

    Main Methods:

    • Retrospective review of 34 cases of visual loss due to orbital and sinus diseases between 1975 and 1983.
    • Utilized high-resolution CT scans for lesion localization and follow-up.
    • Surgical interventions included orbital or optic nerve decompression based on pathological findings.

    Main Results:

    • Infectious processes (bacterial, fungal) were the most frequent cause of visual loss.
    • Iatrogenic trauma was the second leading cause, often resulting in irreversible blindness.
    • Emergency surgery successfully restored vision in three patients with blindness secondary to infection or mucocele.
    • Timely surgical treatment led to visual improvement in other patients.

    Conclusions:

    • Infectious processes and trauma are significant causes of visual loss in orbital and sinus diseases.
    • Early diagnosis and prompt surgical treatment are crucial for vision salvage.
    • High-resolution CT scanning is vital for diagnosis and monitoring, particularly for orbital abscesses.

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