Visual loss associated with orbital and sinus diseases

A. J. Maniglia, F. G. Kronberg, William W Culbertson

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Visual loss associated with orbital and sinuses diseases is mainly due to infectious processes, trauma and neoplasm. From 1975 to 1983, we have encountered 34 such cases. The most common cause in our series was infectious processes, either due to aerobic or anaerobic bacteria or fungi (aspergillosis and phycomycosis). Iatrogenic trauma resulting in complete unilateral irreversible blindness was the second most common etiology in the series of cases that came to our attention for several reasons. Three of our patients with complete blindness, even with documented absence of light perception, secondary to infections or mucocele, underwent emergency surgical treatment with successful restoration of vision. Other patients with various degrees of visual loss experienced improvement, often to normal levels, when timely appropriate surgical treatment was applied. Orbital or optic nerve decompression was used according to pathologic findings encountered. High resolution CT scan has been very helpful in precisely pinpointing the lesion. It is also indispensable in the follow-up of orbital abscesses in order to rule out intracranial complications. Blindness with immediate onset secondary to either external or iatrogenic trauma, with rare exceptions, has a dismal prognosis. Early diagnosis and prompt treatment are essential for salvage of vision or even lives of patients affected by such dreadful complications.

Original languageEnglish
Pages (from-to)1050-1059
Number of pages10
JournalLaryngoscope
Volume94
Issue number8
StatePublished - Jan 1 1984

Fingerprint

Orbital Diseases
Blindness
Wounds and Injuries
Zygomycosis
Mucocele
Salvage Therapy
Aerobic Bacteria
Aspergillosis
Emergency Treatment
Anaerobic Bacteria
Optic Nerve
Decompression
Coinfection
Abscess
Early Diagnosis
Fungi
Light
Neoplasms
Therapeutics

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Maniglia, A. J., Kronberg, F. G., & Culbertson, W. W. (1984). Visual loss associated with orbital and sinus diseases. Laryngoscope, 94(8), 1050-1059.

Visual loss associated with orbital and sinus diseases. / Maniglia, A. J.; Kronberg, F. G.; Culbertson, William W.

In: Laryngoscope, Vol. 94, No. 8, 01.01.1984, p. 1050-1059.

Research output: Contribution to journalArticle

Maniglia, AJ, Kronberg, FG & Culbertson, WW 1984, 'Visual loss associated with orbital and sinus diseases', Laryngoscope, vol. 94, no. 8, pp. 1050-1059.
Maniglia AJ, Kronberg FG, Culbertson WW. Visual loss associated with orbital and sinus diseases. Laryngoscope. 1984 Jan 1;94(8):1050-1059.
Maniglia, A. J. ; Kronberg, F. G. ; Culbertson, William W. / Visual loss associated with orbital and sinus diseases. In: Laryngoscope. 1984 ; Vol. 94, No. 8. pp. 1050-1059.
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