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OPHTHALMOLOGY PRACTICE
Year : 2015  |  Volume : 63  |  Issue : 6  |  Page : 528-531

Sinonasal carcinoma presenting as chronic sinusitis and sequential bilateral visual loss


1 Department of Ophthalmology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China
2 Department of Radiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan, Republic of China

Correspondence Address:
Dr. Hsiu-Mei Huang
Department of Ophthalmology, No. 123, Dapi Road, Niaosong District, Kaohsiung 83301, Taiwan
Republic of China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.162606

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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.


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