A case of eosinophilic chronic rhinosinusitis associated with optic neuropathy

Takuji Kurimoto, Masahiro Tonari, Norihiko Ishizaki, Junko Matsuo, Hidehiro Oku, Jun Sugasawa, Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, Osaka, JapanAbstract: We report a case of eosinophilic chronic rhinosinusitis (ECRS) associated with optic neuropathy. The visual acuity i...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kurimoto T, Tonari M, Ishizaki N, Matsuo J, Oku H, Sugasawa J, Ikeda T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f9fda8d0db874cf58bbe1f48a6ed9c4d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f9fda8d0db874cf58bbe1f48a6ed9c4d
record_format	dspace
spelling	oai:doaj.org-article:f9fda8d0db874cf58bbe1f48a6ed9c4d2021-12-02T07:48:19ZA case of eosinophilic chronic rhinosinusitis associated with optic neuropathy1177-54671177-5483https://doaj.org/article/f9fda8d0db874cf58bbe1f48a6ed9c4d2011-06-01T00:00:00Zhttp://www.dovepress.com/a-case-of-eosinophilic-chronic-rhinosinusitis-associated-with-optic-ne-a7727https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Takuji Kurimoto, Masahiro Tonari, Norihiko Ishizaki, Junko Matsuo, Hidehiro Oku, Jun Sugasawa, Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, Osaka, JapanAbstract: We report a case of eosinophilic chronic rhinosinusitis (ECRS) associated with optic neuropathy. The visual acuity in the right eye was suddenly reduced to no light perception on awakening in the morning. Fundus examination of both eyes on the same day showed no remarkable changes. Emergency computed tomography showed pan-sinusitis bilaterally and a partial defect of the sphenoid bone on the right side. From the clinical findings, the case was diagnosed as optic neuropathy associated with chronic sinusitis. Endoscopic sinus surgery (ESS) was performed on the same day, and all of the major sinuses were found to be filled with highly viscous fluid. Part of the optic canal had a defect probably due to inflammatory invasion from the adjacent sphenoid bone. Steroid therapy was started immediately postoperatively. Histopathological examination of excised polyps showed that numerous eosinophils had invaded the polyps but no hyphae were present. The patient reported that he had bronchial asthma and had had nasal polypectomy. Six months after the ESS and steroid therapy, the patient had a recurrence of the sinusitis. At that time, laboratory examination showed an elevation of total IgE and eosinophil numbers. From the clinical findings and course, this case was diagnosed as ECRS accompanied by optic neuropathy. Although ECRS rarely has ocular complications, the inflammation can spread and the optic nerve can be affected.Keywords: optic neuropathy, eosinophilic chronic rhinosinusitis, chronic sinusitis, allergic fungal rhinosinusitisKurimoto TTonari MIshizaki NMatsuo JOku HSugasawa JIkeda TDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 853-856 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kurimoto T Tonari M Ishizaki N Matsuo J Oku H Sugasawa J Ikeda T A case of eosinophilic chronic rhinosinusitis associated with optic neuropathy
description	Takuji Kurimoto, Masahiro Tonari, Norihiko Ishizaki, Junko Matsuo, Hidehiro Oku, Jun Sugasawa, Tsunehiko IkedaDepartment of Ophthalmology, Osaka Medical College, Osaka, JapanAbstract: We report a case of eosinophilic chronic rhinosinusitis (ECRS) associated with optic neuropathy. The visual acuity in the right eye was suddenly reduced to no light perception on awakening in the morning. Fundus examination of both eyes on the same day showed no remarkable changes. Emergency computed tomography showed pan-sinusitis bilaterally and a partial defect of the sphenoid bone on the right side. From the clinical findings, the case was diagnosed as optic neuropathy associated with chronic sinusitis. Endoscopic sinus surgery (ESS) was performed on the same day, and all of the major sinuses were found to be filled with highly viscous fluid. Part of the optic canal had a defect probably due to inflammatory invasion from the adjacent sphenoid bone. Steroid therapy was started immediately postoperatively. Histopathological examination of excised polyps showed that numerous eosinophils had invaded the polyps but no hyphae were present. The patient reported that he had bronchial asthma and had had nasal polypectomy. Six months after the ESS and steroid therapy, the patient had a recurrence of the sinusitis. At that time, laboratory examination showed an elevation of total IgE and eosinophil numbers. From the clinical findings and course, this case was diagnosed as ECRS accompanied by optic neuropathy. Although ECRS rarely has ocular complications, the inflammation can spread and the optic nerve can be affected.Keywords: optic neuropathy, eosinophilic chronic rhinosinusitis, chronic sinusitis, allergic fungal rhinosinusitis
format	article
author	Kurimoto T Tonari M Ishizaki N Matsuo J Oku H Sugasawa J Ikeda T
author_facet	Kurimoto T Tonari M Ishizaki N Matsuo J Oku H Sugasawa J Ikeda T
author_sort	Kurimoto T
title	A case of eosinophilic chronic rhinosinusitis associated with optic neuropathy
title_short	A case of eosinophilic chronic rhinosinusitis associated with optic neuropathy
title_full	A case of eosinophilic chronic rhinosinusitis associated with optic neuropathy
title_fullStr	A case of eosinophilic chronic rhinosinusitis associated with optic neuropathy
title_full_unstemmed	A case of eosinophilic chronic rhinosinusitis associated with optic neuropathy
title_sort	case of eosinophilic chronic rhinosinusitis associated with optic neuropathy
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/f9fda8d0db874cf58bbe1f48a6ed9c4d
work_keys_str_mv	AT kurimotot acaseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT tonarim acaseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT ishizakin acaseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT matsuoj acaseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT okuh acaseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT sugasawaj acaseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT ikedat acaseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT kurimotot caseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT tonarim caseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT ishizakin caseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT matsuoj caseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT okuh caseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT sugasawaj caseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy AT ikedat caseofeosinophilicchronicrhinosinusitisassociatedwithopticneuropathy
_version_	1718399196435841024

A case of eosinophilic chronic rhinosinusitis associated with optic neuropathy

Ejemplares similares