Marfatia Hetal, Sahai Anoushka, Sharma Monankita, Kp Ashwathy, Kamble Juilee, Rattan Anav
Department of ENT and Head-Neck Surgery, Seth G.S. Medical College and King Edward Memorial Hospital, Mumbai, India.
J Rhinol. 2024 Jul;31(2):78-85. doi: 10.18787/jr.2024.00012. Epub 2024 Jul 31.
Various ear, nose, and throat (ENT) conditions can result in vision loss. The purpose of this study is to identify the etiologies, presentations, and radiological findings associated with impaired vision in the context of ENT. Additionally, this article discusses management protocols, including optic nerve decompression and orbital decompression.
In a retrospective study, we examined the period from 2016 to 2022 at a tertiary care hospital in Mumbai, India. The analysis included 11 patients who presented with progressive diminution of vision. All patients received a regimen of broad-spectrum intravenous antibiotics and high-dose intravenous steroids. This was followed by either endoscopic optic nerve decompression or orbital decompression. Subsequent improvements in vision were documented, and any complications were evaluated.
A total of 11 patients were treated with medical management followed by successful surgery, with 10 patients demonstrating significant vision improvement.
Identifying the etiology of vision loss and managing the condition can present challenges for otorhinolaryngologists. A thorough grasp of the underlying pathophysiology, combined with active surveillance of clinical and radiological indicators, can enable these clinicians to achieve effective and rewarding outcomes.
各种耳鼻喉（ENT）疾病都可能导致视力丧失。本研究的目的是确定在耳鼻喉疾病背景下与视力受损相关的病因、表现及影像学特征。此外，本文还讨论了包括视神经减压和眼眶减压在内的治疗方案。
在一项回顾性研究中，我们调查了印度孟买一家三级护理医院2016年至2022年期间的情况。分析纳入了11例视力逐渐下降的患者。所有患者均接受了广谱静脉抗生素和大剂量静脉类固醇治疗方案。随后进行了内镜下视神经减压或眼眶减压。记录了视力随后的改善情况，并评估了任何并发症。
共有11例患者接受了药物治疗，随后手术成功，其中10例患者视力有显著改善。
确定视力丧失的病因并处理该病症对耳鼻喉科医生来说可能具有挑战性。全面掌握潜在的病理生理学，结合对临床和影像学指标的积极监测，可使这些临床医生取得有效且有益的结果。
