Secondary sinusogenic neuritis and optic nerve atrophy

Authors

DOI:

https://doi.org/10.15587/2519-4798.2023.278978

Keywords:

optic neuritis, optic nerve atrophy, OCT, RNFL

Abstract

Cases of sinusogenic damage to the optic nerve are difficult to statistically process due to the variety of manifestations in the initial period and differences in the course, which does not make it possible to make a timely diagnosis, as well as standardize treatment. All this leads to the development of irreversible damage to the optic nerve, and therefore is relevant for study.

The aim of the study was to investigate signs of optic nerve atrophy caused by secondary neuritis combined with sinusitis using optical coherence tomography (OCT).

Research methods. 8 patients (16 eyes) aged 18-32 were examined at the Ivano-Frankivsk National Medical University with progressive optic nerve atrophy caused by secondary neuritis combined with sinusitis. The visometry, ophthalmoscopy, computer perimetry and OCT were used.

Result. Eight patients with optic nerve atrophy caused by secondary neuritis combined with sinusitis examined by OCT. The optic nerve damage in the early period (up to half a year) characterized by the appearance retinal neural fibers layer (RNFL)’s white sectors combined with red-yellow sectors on the side of the lesion. It could be evidence of edematous -degenerative processes.

Later, after more than a year, RNFL’s yellow-red sectors appeared on the side of the lesion and white on the opposite side. The finding characterizes the development of atrophy of the optic nerve and involvement of the opposite side.

Conclusion. To improve the diagnosis of optic nerve atrophy caused by secondary neuritis combined with sinusitis, the use of OCT parameters will help to obtain a more complete picture of the condition of the optic nerve and determine the optimal treatment plan

Author Biography

Nataliya Moyseyenko, Ivano-Frankivsk National Medical University

Doctor of Medical Sciences, Associate Professor

Department of Ophthalmology

References

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Published

2023-03-31

How to Cite

Moyseyenko, N. (2023). Secondary sinusogenic neuritis and optic nerve atrophy. ScienceRise: Medical Science, (2(53), 16–20. https://doi.org/10.15587/2519-4798.2023.278978

Issue

No. 2(53) (2023)

Section

Medical Science

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Copyright (c) 2023 Nataliya Moyseyenko

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