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Br J Ophthalmol 1998;82:99-100 doi:10.1136/bjo.82.1.99
  • Letter to the Editor

Rhinogenic optic neuropathy caused bilateral loss of light perception

  1. YOSHIMUNE HIRATSUKA,
  2. YOSHIHIRO HOTTA,
  3. AKARI YUI,
  4. KIYOO NAKAYASU,
  5. ATSUSHI KANAI
  1. Department of Ophthalmology, Juntendo University School of Medicine
  2. Department of Otorhinolaryngology, Juntendo University School of Medicine
  • Accepted 27 August 1997
  1. TAKUYA YAMAKAWA
  1. Department of Ophthalmology, Juntendo University School of Medicine
  2. Department of Otorhinolaryngology, Juntendo University School of Medicine
  1. Yoshimune Hiratsuka, MD, Department of Ophthalmology, Juntendo University School of Medicine, 3-1-3 Hongo, Bunkyo-ku, Tokyo 113, Japan.
  • Accepted 27 August 1997

Editor,—Rhinogenic optic neuropathy is a clinical entity including rhinogenous optic neuritis and optic neuropathy caused by a paranasal cyst. The damage to the optic nerve seems to be caused mainly by cyst compression and inflammatory changes. Rhinogenic optic neuropathy secondary to paranasal lesions is not so rare, and paranasal sinus mucoceles with unilateral blindness have already been reported. Bilateral loss of light perception caused by rhinogenic optic neuropathy, however, has not been reported in the literature.

CASE REPORT

A 48 year old man complained of acute visual loss in both eyes. His corrected visual acuities were light perception in both eyes, and the light reflex was defective. No …

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