ENT Disorders Presenting with Ophthalmological Manifestations:An Overview

Sathyalakshmi M H Sathyalakshmi M H,Girish F Hongal Girish F Hongal

doi:10.47009/ajmr.2020.9.1.ot4

Sathyalakshmi M H Sathyalakshmi M H, Girish F Hongal Girish F Hongal

Open Access

https://doi.org/10.47009/ajmr.2020.9.1.ot4

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Abstract

Background: It is important to diagnose the condition early and manage aggressively. It is often difficult to cure orbital cellulitis due to late treatment and may cause blindness if left untreated because of optic nerve compression. Both orbital abscess and cavernous sinus thrombosis may lead to intracranial spread of infection, such as meningitis or cerebral abscess with high morbidity and possible mortality.Subjects and Methods:A total number of 124 cases of ophthalmological manifestation caused by various ENT diseases, mostly paranasaltumourextensions; nasopharyngeal tumour and furunculosis of nose were analyzed in a retrospective study in relation to their age, sex, clinical,radiological and histopathologicalprofile.Results: Direct nasal endoscopy(DNE), Fibre optic Flexible nasopharyngoscopy was Useful. HRCT scan was considered as the most dependable investigating tool. Different modalities of medical and surgical treatment have been adopted according to location and nature of diseases.Conclusion: Aclose co-operationand team effort required between otorhinolaryngologist and ophthalmologist to overcome this kind of challenges.

Highlights

Being an adjacent structure of the Nose and paranasal sinus region, involvement of the orbit and thereof ophthalmological manifestation are fairly common in the practice of Ophthalmology
This area has been so named because furuncles, infections of the nose and injuries around the nose, especially those that become infected can readily spread to cavernous sinus resulting in Cavernous sinus thrombosis (CST).Cavernous sinus thrombosis (CST) is generally a fulminant process with high rates of morbidity and mortality
It is often difficult to cure orbital cellulitis due to late treatment and may cause blindness if left untreated because of optic nerve compression. Both orbital abscess and cavernous sinus thrombosis may lead to intracranial spread of infection, such as meningitis or cerebral abscess with high morbidity and possible mortality

Summary

Introduction

Being an adjacent structure of the Nose and paranasal sinus region, involvement of the orbit and thereof ophthalmological manifestation are fairly common in the practice of Ophthalmology. Veins from the orbit, nose and paranasal sinuses and adjoining facial regions drain to cavernous sinus either directly or indirectly through valveless communications.

Results

Conclusion