急性鼻窦炎所致眶尖综合征及眼动脉阻塞
Orbital apex syndrome and ophthalmic artery occlusion caused by acute sinusitis.
作者信息
Liao Dan, Yang Xiaoli, Li Rong
机构信息
Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College, No.1, South Maoyuan Road, Nanchong, Sichuan, 637000, China.
Medical School of Ophthalmology and Optometry, North Sichuan Medical College, Nanchong, Sichuan, China.
出版信息
BMC Ophthalmol. 2025 Jul 21;25(1):417. doi: 10.1186/s12886-025-04235-0.
BACKGROUND
Acute sinusitis is a common condition that rarely leads to severe complications like orbital apex syndrome and ophthalmic artery occlusion, which can cause significant vision loss and require prompt diagnosis and treatment.
CASE PRESENTATION
A 40-year-old male presented with sudden vision loss and headache. Examination revealed no light perception in the right eye, proptosis, ophthalmoplegia, and ptosis. Imaging showed retinal edema, vascular filling defects, and diminished opacification of the right ophthalmic artery. The patient was diagnosed with right orbital apex syndrome and ophthalmic artery occlusion caused by acute sinusitis.
CONCLUSION
Early recognition and intervention are crucial in managing severe complications of acute sinusitis to prevent irreversible visual impairment.
背景
急性鼻窦炎是一种常见疾病，很少导致如眶尖综合征和眼动脉阻塞等严重并发症，这些并发症可导致严重视力丧失，需要及时诊断和治疗。
病例报告
一名40岁男性出现突发视力丧失和头痛。检查发现右眼无光感、眼球突出、眼球运动障碍和上睑下垂。影像学检查显示视网膜水肿、血管充盈缺损以及右眼动脉造影剂充盈减少。该患者被诊断为急性鼻窦炎所致的右眶尖综合征和眼动脉阻塞。
结论
早期识别和干预对于处理急性鼻窦炎的严重并发症以防止不可逆的视力损害至关重要。
Zotero 插件