Fujimoto N, Adachi-Usami E, Saito E, Nagata H
Department of Ophthalmology, Chiba University School of Medicine, Chiba, Japan.
Ophthalmologica. 1999;213(4):262-4. doi: 10.1159/000027432.
Patients with total blindness caused by paranasal sinus disease have rarely been reported. We retrospectively studied the prognosis of patients who had optic nerve blindness due to paranasal sinus disease. During the past 10 years, we identified 17 patients with optic nerve disease and posterior paranasal sinus disease. Seven of the 17 patients with optic nerve disease and paranasal sinus disease had no light perception. Five of these 7 patients with paranasal sinus disease had a final visual acuity of 20/200 or better. Two patients showed dramatic visual improvement after endonasal surgery. Because immediate surgery to correct paranasal sinus disease is required in affected patients, computed tomography should be done at the patient's first visit.
由鼻窦疾病导致全盲的患者鲜有报道。我们回顾性研究了因鼻窦疾病导致视神经失明患者的预后情况。在过去10年里，我们确定了17例患有视神经疾病和鼻窦后疾病的患者。17例患有视神经疾病和鼻窦疾病的患者中有7例无光感。这7例鼻窦疾病患者中有5例最终视力达到20/200或更好。2例患者在鼻内手术后视力显著改善。由于患病患者需要立即进行手术以纠正鼻窦疾病，因此应在患者初诊时进行计算机断层扫描。
