Abstract
Background: Purpose of this case report is to describe, for the first time in literature assessed by optical coherence tomography (OCT) and visual evoked potentials (VEP), a rare case of partially reversible unilateral vision loss accompanied by retrobulbar optic neuritis symptomatology, after nasal polyps removal using endoscopic sinus surgery (ESS) technique. Case presentation: A 41-year old Greek male developed unilateral vision loss, partially reversible within 72 hours, reduced color vision, superior scotoma and retrobulbar pain on eye movement immediately after recovering from nasal polyp removal with (ESS) technique. He underwent complete ophthalmological examination including optical coherence tomography, fluorescein angiography, visual fields and visual evoked potentials. A magnetic resonance imaging (MRI), neurological examination and laboratory evaluation were also performed revealing no abnormalities. Conclusions: Sinus surgeons and ophthalmologists should be familiar with the possibility of irreversible visual impairment after endoscopic sinus surgery and enhance collaboration for facilitating better recognition and early treatment.
Highlights
Nasal polyps are non-malignant overgrowths of the nasal and paranasal sinuses mucosa
Despite its continuous development over the past three decades complications may still occur, with an overall major complication rate of 1% [3,4]. Purpose of this case report is to emphasize on the ophthalmic effects of the endoscopic sinus surgery and the fact that despite the advances in the ESS technique, serious ophthalmic complications such as optic neuritis may occur
To the best of our knowledge this is the first reported case of sinus surgery associated optic neuritis documented by optical coherence tomography (OCT) and visual evoked potentials (VEP)
Summary
Nasal polyps are non-malignant overgrowths of the nasal and paranasal sinuses mucosa. Since its introduction in the mid- 1980’s endoscopic sinus surgery (ESS) has become the technique of choice for invasive chronic rhinosinusitis treatment. Purpose of this case report is to emphasize on the ophthalmic effects of the endoscopic sinus surgery and the fact that despite the advances in the ESS technique, serious ophthalmic complications such as optic neuritis may occur.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
