TEXT
A 61-year-old man without a particular medical history complained of
acute right vision loss and headache. The visual field of the right eye
showed temporal hemianopia. Tenderness was noted in the right eye and
the right eyelid was swollen. The right eyelid conjunctiva was
hyperemic, but there was no abnormal eye movement or pupillary
irregularity. A computed tomography scan revealed mucosal thickening and
liquid retention in the right ethmoid sinus with accompanying
destruction of the adjacent bone and compression of the optic nerve
(Picture A : axial, arrow and Picture B : coronal,
arrow). Emergency endoscopic sinus surgery was performed, but the visual
loss did not recover completely.
Rhinogenic optic neuropathy should be considered in patients with acute
vision loss, especially when unilateral temporal hemianopia is observed
(1). Early diagnosis and surgical intervention can help to prevent the
complication of permanent blindness due to optic nerve injury (2).
Funding : None.
Acknowledgments : None.
Data availability statement : Not applicable.
Conflict of Interest : The authors declare no conflicts of
interest.
Ethics statement : Written informed consent was obtained from
the patient to publish this case report.
Authors’ Contributions : KO: wrote the first draft and managed
all the submission process. WA and HH: supported writing of the first
draft. TH: contributed to the clinical management of the patient. FO:
organized writing of the manuscript.