Open AccessSinonasal carcinoma presenting as chronic sinusitis and sequential bilateral visual loss
Author(s) -
WeiYu Chiang,
MengHsiang Chen,
Huei-Jean Huang
Publication year - 2015
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.162606
Subject(s) - medicine , malignancy , optic neuropathy , radiation therapy , sinusitis , etiology , chronic sinusitis , carcinoma , surgery , pathology , optic nerve , ophthalmology
Sinonasal undifferentiated carcinoma-related rhinogenic optic neuropathy is rare and may lead to visual loss. To the best of our knowledge, this is the first report of bilateral sequential visual loss induced by this etiology. It is important to differentiate between chronic sinusitis and malignancy on the basis of specific findings on magnetic resonance images. Surgical decompression with multidisciplinary therapy, including steroids, chemotherapy, and radiotherapy, is indicated. However, no visual improvement was noted in this case, emphasizing the rapid disease progression and importance of early diagnosis and treatment.