Optic nerve compression in allergic fungal sinusitis
To describe the syndrome of optic nerve involvement in cases of allergic fungal sinusitis. Academic tertiary care centre. Analysis of prospectively accrued data for 10 consecutive cases (three bilateral, giving 13 eyes) with visual loss secondary to optic nerve compression, from a total of 70 cases...
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| Veröffentlicht in: | Journal of laryngology and otology 2011-04, Vol.125 (4), p.381-385 |
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| container_title | Journal of laryngology and otology |
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| creator | Thakar, A Lal, P Dhiwakar, M Bahadur, S |
| description | To describe the syndrome of optic nerve involvement in cases of allergic fungal sinusitis.
Academic tertiary care centre.
Analysis of prospectively accrued data for 10 consecutive cases (three bilateral, giving 13 eyes) with visual loss secondary to optic nerve compression, from a total of 70 cases of allergic fungal sinusitis undergoing surgical treatment between June 1997 and May 2007.
The mean duration of rhinological symptoms prior to the onset of visual loss was 22 months. At presentation, visual loss ranged from a visual acuity of 6/12 to complete loss of light perception. Bilateral involvement was noted in three of the 10 cases. Urgent surgical decompression with removal of all fungal debris and decompression of the optic nerve resulted in visual recovery in seven of the 13 eyes. On univariate analysis, recovery was less likely in cases with long standing visual loss, and in cases with complete visual loss.
Long standing allergic fungal sinusitis may be complicated by visual loss due to compression of the optic nerve. Urgent surgery to clear the sinuses and decompress the optic nerve is successful in reversing visual loss in cases with partial visual loss. |
| doi_str_mv | 10.1017/S0022215110002689 |
| format | Article |
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Academic tertiary care centre.
Analysis of prospectively accrued data for 10 consecutive cases (three bilateral, giving 13 eyes) with visual loss secondary to optic nerve compression, from a total of 70 cases of allergic fungal sinusitis undergoing surgical treatment between June 1997 and May 2007.
The mean duration of rhinological symptoms prior to the onset of visual loss was 22 months. At presentation, visual loss ranged from a visual acuity of 6/12 to complete loss of light perception. Bilateral involvement was noted in three of the 10 cases. Urgent surgical decompression with removal of all fungal debris and decompression of the optic nerve resulted in visual recovery in seven of the 13 eyes. On univariate analysis, recovery was less likely in cases with long standing visual loss, and in cases with complete visual loss.
Long standing allergic fungal sinusitis may be complicated by visual loss due to compression of the optic nerve. Urgent surgery to clear the sinuses and decompress the optic nerve is successful in reversing visual loss in cases with partial visual loss.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S0022215110002689</identifier><identifier>PMID: 21226984</identifier><identifier>CODEN: JLOTAX</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Acuity ; Adolescent ; Adult ; Biological and medical sciences ; Compression ; Data processing ; Decompression ; Decompression, Surgical - methods ; Diseases of visual field, optic nerve, optic chiasma and optic tracts ; Endoscopy ; Female ; Humans ; Hypersensitivity - complications ; Hypersensitivity - diagnosis ; Hypersensitivity - surgery ; Light effects ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Mycoses - complications ; Mycoses - diagnosis ; Mycoses - surgery ; Nerve Compression Syndromes - diagnosis ; Nerve Compression Syndromes - microbiology ; Nerve Compression Syndromes - surgery ; Non tumoral diseases ; Ophthalmology ; Optic nerve ; Optic Nerve Diseases - diagnosis ; Optic Nerve Diseases - microbiology ; Optic Nerve Diseases - surgery ; Otorhinolaryngology (head neck, general aspects and miscellaneous) ; Otorhinolaryngology. Stomatology ; Patients ; Perception ; Prospective Studies ; Sinus ; Sinuses ; Sinusitis ; Sinusitis - complications ; Sinusitis - diagnosis ; Sinusitis - surgery ; Surgery ; Tomography ; Tomography, X-Ray Computed ; Treatment Outcome ; Vision Disorders - etiology ; Vision Disorders - surgery ; Visual Acuity ; Young Adult</subject><ispartof>Journal of laryngology and otology, 2011-04, Vol.125 (4), p.381-385</ispartof><rights>Copyright © JLO (1984) Limited 2011</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c543t-7a86a705e6e0d0256c18fa1a1441142d7ea791018ef10f16ca7f9f2baf2757163</citedby><cites>FETCH-LOGICAL-c543t-7a86a705e6e0d0256c18fa1a1441142d7ea791018ef10f16ca7f9f2baf2757163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0022215110002689/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27924,27925,55628</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24090973$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21226984$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thakar, A</creatorcontrib><creatorcontrib>Lal, P</creatorcontrib><creatorcontrib>Dhiwakar, M</creatorcontrib><creatorcontrib>Bahadur, S</creatorcontrib><title>Optic nerve compression in allergic fungal sinusitis</title><title>Journal of laryngology and otology</title><addtitle>J Laryngol Otol</addtitle><description>To describe the syndrome of optic nerve involvement in cases of allergic fungal sinusitis.
Academic tertiary care centre.
Analysis of prospectively accrued data for 10 consecutive cases (three bilateral, giving 13 eyes) with visual loss secondary to optic nerve compression, from a total of 70 cases of allergic fungal sinusitis undergoing surgical treatment between June 1997 and May 2007.
The mean duration of rhinological symptoms prior to the onset of visual loss was 22 months. At presentation, visual loss ranged from a visual acuity of 6/12 to complete loss of light perception. Bilateral involvement was noted in three of the 10 cases. Urgent surgical decompression with removal of all fungal debris and decompression of the optic nerve resulted in visual recovery in seven of the 13 eyes. On univariate analysis, recovery was less likely in cases with long standing visual loss, and in cases with complete visual loss.
Long standing allergic fungal sinusitis may be complicated by visual loss due to compression of the optic nerve. Urgent surgery to clear the sinuses and decompress the optic nerve is successful in reversing visual loss in cases with partial visual loss.</description><subject>Acuity</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Compression</subject><subject>Data processing</subject><subject>Decompression</subject><subject>Decompression, Surgical - methods</subject><subject>Diseases of visual field, optic nerve, optic chiasma and optic tracts</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Hypersensitivity - complications</subject><subject>Hypersensitivity - diagnosis</subject><subject>Hypersensitivity - surgery</subject><subject>Light effects</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mycoses - complications</subject><subject>Mycoses - diagnosis</subject><subject>Mycoses - surgery</subject><subject>Nerve Compression Syndromes - diagnosis</subject><subject>Nerve Compression Syndromes - microbiology</subject><subject>Nerve Compression Syndromes - surgery</subject><subject>Non tumoral diseases</subject><subject>Ophthalmology</subject><subject>Optic nerve</subject><subject>Optic Nerve Diseases - diagnosis</subject><subject>Optic Nerve Diseases - microbiology</subject><subject>Optic Nerve Diseases - surgery</subject><subject>Otorhinolaryngology (head neck, general aspects and miscellaneous)</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Patients</subject><subject>Perception</subject><subject>Prospective Studies</subject><subject>Sinus</subject><subject>Sinuses</subject><subject>Sinusitis</subject><subject>Sinusitis - complications</subject><subject>Sinusitis - diagnosis</subject><subject>Sinusitis - surgery</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Vision Disorders - etiology</subject><subject>Vision Disorders - surgery</subject><subject>Visual Acuity</subject><subject>Young Adult</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kN1LwzAUxYMobk7_AF-kCKIv1XvTNGkfZfgFgz2ozyVLk5HRj5msgv-9KasOFH1K4PzuOfceQk4RrhFQ3DwDUEoxRYTw41m-R8YoWBanjMM-Gfdy3OsjcuT9KkAogB6SEUVKeZ6xMWHz9caqqNHuXUeqrddOe2_bJrJNJKtKu2VQTdcsZRV523Tebqw_JgdGVl6fDO-EvN7fvUwf49n84Wl6O4tVypJNLGTGpYBUcw0l0JQrzIxEiYwhMloKLUUeDsm0QTDIlRQmN3QhDRWpQJ5MyOXWd-3at077TVFbr3RVyUa3nS8yDknORQibkKt_SQSahTIghYCe_0BXbeeacEfww34d0SfjFlKu9d5pU6ydraX7CE5F333xq_swczYYd4tal98TX2UH4GIApFeyMk42yvodxyCHXCSBS4ZwWS-cLZd6t-Lf8Z9me5e-</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>Thakar, A</creator><creator>Lal, P</creator><creator>Dhiwakar, M</creator><creator>Bahadur, S</creator><general>Cambridge University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>20110401</creationdate><title>Optic nerve compression in allergic fungal sinusitis</title><author>Thakar, A ; Lal, P ; Dhiwakar, M ; Bahadur, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c543t-7a86a705e6e0d0256c18fa1a1441142d7ea791018ef10f16ca7f9f2baf2757163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Acuity</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Compression</topic><topic>Data processing</topic><topic>Decompression</topic><topic>Decompression, Surgical - methods</topic><topic>Diseases of visual field, optic nerve, optic chiasma and optic tracts</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Hypersensitivity - complications</topic><topic>Hypersensitivity - diagnosis</topic><topic>Hypersensitivity - surgery</topic><topic>Light effects</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mycoses - complications</topic><topic>Mycoses - diagnosis</topic><topic>Mycoses - surgery</topic><topic>Nerve Compression Syndromes - diagnosis</topic><topic>Nerve Compression Syndromes - microbiology</topic><topic>Nerve Compression Syndromes - surgery</topic><topic>Non tumoral diseases</topic><topic>Ophthalmology</topic><topic>Optic nerve</topic><topic>Optic Nerve Diseases - diagnosis</topic><topic>Optic Nerve Diseases - microbiology</topic><topic>Optic Nerve Diseases - surgery</topic><topic>Otorhinolaryngology (head neck, general aspects and miscellaneous)</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Patients</topic><topic>Perception</topic><topic>Prospective Studies</topic><topic>Sinus</topic><topic>Sinuses</topic><topic>Sinusitis</topic><topic>Sinusitis - complications</topic><topic>Sinusitis - diagnosis</topic><topic>Sinusitis - surgery</topic><topic>Surgery</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Vision Disorders - etiology</topic><topic>Vision Disorders - surgery</topic><topic>Visual Acuity</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thakar, A</creatorcontrib><creatorcontrib>Lal, P</creatorcontrib><creatorcontrib>Dhiwakar, M</creatorcontrib><creatorcontrib>Bahadur, S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laryngology and otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thakar, A</au><au>Lal, P</au><au>Dhiwakar, M</au><au>Bahadur, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optic nerve compression in allergic fungal sinusitis</atitle><jtitle>Journal of laryngology and otology</jtitle><addtitle>J Laryngol Otol</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>125</volume><issue>4</issue><spage>381</spage><epage>385</epage><pages>381-385</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><coden>JLOTAX</coden><abstract>To describe the syndrome of optic nerve involvement in cases of allergic fungal sinusitis.
Academic tertiary care centre.
Analysis of prospectively accrued data for 10 consecutive cases (three bilateral, giving 13 eyes) with visual loss secondary to optic nerve compression, from a total of 70 cases of allergic fungal sinusitis undergoing surgical treatment between June 1997 and May 2007.
The mean duration of rhinological symptoms prior to the onset of visual loss was 22 months. At presentation, visual loss ranged from a visual acuity of 6/12 to complete loss of light perception. Bilateral involvement was noted in three of the 10 cases. Urgent surgical decompression with removal of all fungal debris and decompression of the optic nerve resulted in visual recovery in seven of the 13 eyes. On univariate analysis, recovery was less likely in cases with long standing visual loss, and in cases with complete visual loss.
Long standing allergic fungal sinusitis may be complicated by visual loss due to compression of the optic nerve. Urgent surgery to clear the sinuses and decompress the optic nerve is successful in reversing visual loss in cases with partial visual loss.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>21226984</pmid><doi>10.1017/S0022215110002689</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0022-2151 |
| ispartof | Journal of laryngology and otology, 2011-04, Vol.125 (4), p.381-385 |
| issn | 0022-2151 1748-5460 |
| language | eng |
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| source | MEDLINE; Cambridge Journals |
| subjects | Acuity Adolescent Adult Biological and medical sciences Compression Data processing Decompression Decompression, Surgical - methods Diseases of visual field, optic nerve, optic chiasma and optic tracts Endoscopy Female Humans Hypersensitivity - complications Hypersensitivity - diagnosis Hypersensitivity - surgery Light effects Magnetic Resonance Imaging Male Medical sciences Middle Aged Mycoses - complications Mycoses - diagnosis Mycoses - surgery Nerve Compression Syndromes - diagnosis Nerve Compression Syndromes - microbiology Nerve Compression Syndromes - surgery Non tumoral diseases Ophthalmology Optic nerve Optic Nerve Diseases - diagnosis Optic Nerve Diseases - microbiology Optic Nerve Diseases - surgery Otorhinolaryngology (head neck, general aspects and miscellaneous) Otorhinolaryngology. Stomatology Patients Perception Prospective Studies Sinus Sinuses Sinusitis Sinusitis - complications Sinusitis - diagnosis Sinusitis - surgery Surgery Tomography Tomography, X-Ray Computed Treatment Outcome Vision Disorders - etiology Vision Disorders - surgery Visual Acuity Young Adult |
| title | Optic nerve compression in allergic fungal sinusitis |
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