scholarly journals Navigation-guided nasal endoscopic surgery for acute vision loss caused by fibrous dysplasia: a case report and review of literatures

BMC Surgery ◽  
2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Weijie Liu ◽  
Wenhao Jiang ◽  
Mingna Xu ◽  
Xiaozhou Hu ◽  
Mengting Wang ◽  
...  

Abstract Background Bone fibrous dysplasia is a benign disease of bone tissue dysplasia. Vision impairment is the commonest neurological complication of craniofacial fibrous dysplasia. Most of the vision loss caused by craniofacial fibrous dysplasia is usually a gradual process. Very few present with acute visual impairment as described in our case. Case presentation We report a patient with fibrous dysplasia presenting rapidly progressive visual loss in the left eye secondary to bone cyst formation. Transnasal endoscopic surgery guided by navigation with drainage and curettage of this bone cyst and orbital decompression resulted in progressive improvement in visual acuity that returned to normal 1 month post-operatively. Conclusions In cases with acute visual loss due to fibrous dysplasia, emergency surgical treatment should be considered to preserve vision. In the surgical approach, navigation-guided nasal endoscopic surgery may be preferred because of its advantages.

2010 ◽  
Vol 24 (6) ◽  
pp. 705-707 ◽  
Author(s):  
Stephen P. MacNally ◽  
Reiko Ashida ◽  
Toby J. Williams ◽  
Andrew T. King ◽  
Brian Leatherbarrow ◽  
...  

CJEM ◽  
2013 ◽  
Vol 15 (05) ◽  
pp. 311-313
Author(s):  
Jennifer L. Chu ◽  
Jeffrey Tyberg

ABSTRACT Ophthalmologic complaints represent approximately 2% of emergency department (ED) visits. Acute vision loss is the most serious of such presentations and requires prompt assessment for a treatable cause. The differential diagnosis for acute vision loss includes retinal detachment, macular disorders, vaso-occlusive disorders, temporal arteritis, neuro-ophthalmologic disorders, and functional disorders. We report the case of a previously healthy 33-year-old man who presented to the ED with acute bilateral vision loss that was ultimately diagnosed as central serous retinopathy (CSR), an idiopathic, self-limited condition that typically affects males age 20 to 50 years. This condition is not mentioned in standard emergency medicine textbooks or the emergency medicine literature, and our hope is that our report will serve to illustrate a typical case of CSR and help prompt emergency physicians to consider this diagnosis in the appropriate circumstances.


2017 ◽  
Vol 08 (02) ◽  
pp. 288-290 ◽  
Author(s):  
Elif Akpınar ◽  
Mehmet Sabri Gürbüz ◽  
Gülfidan Bitirgen ◽  
Mehmet Özerk Okutan

ABSTRACTPostoperative visual loss is an extremely rare complication of nonocular surgery. The most common causes are ischemic optic neuropathy, central retinal artery occlusion, and cerebral ischemia. Acute visual loss after spinal surgery is even rarer. The most important risk factors are long-lasting operations, massive bleedings, fluid overload, hypotension, hypothermia, coagulation disorders, direct trauma, embolism, long-term external ocular pressure, and anemia. Here, we present a case of a 54-year-old male who developed acute visual loss in his left eye after a lumbar instrumentation surgery and was diagnosed with retinal artery occlusion.


2003 ◽  
Vol 32 (9) ◽  
pp. 533-536 ◽  
Author(s):  
L. M. Lomasney ◽  
A. Basu ◽  
T. C. Demos ◽  
W. Laskin

2018 ◽  
Vol 2018 (7) ◽  
Author(s):  
Sean W Kaloostian ◽  
Tara K Vartanian ◽  
Christ Ordookhanian ◽  
Talia Vartanian ◽  
Paul E Kaloostian

2021 ◽  
pp. 112067212110094
Author(s):  
Amirreza Veisi ◽  
Abbas Bagheri ◽  
Mohammad Eshaghi ◽  
Mohamad Hasan Rikhtehgar ◽  
Mozhgan Rezaei Kanavi ◽  
...  

Purpose: To report two cases of COVID-19 under treatment with a corticosteroid; in one case rhino-orbitocerebral mucormycosis and in another one rhino-orbital mucormycosis developed. Case presentation: A 40-year old woman and a 54-year old man with severe COVID-19 underwent corticosteroid therapy for immune-related lung injuries. The first case presented with a bilateral visual loss and complete ophthalmoplegia of the right eye. The second case presented with vision loss, proptosis, orbital inflammation, and complete ophthalmoplegia on the left side. Histopathologic, nasal endoscopic examinations, and radiologic findings confirmed mucormycosis in both patients. The patients denied orbital exenteration and were managed with systemic amphotericin B and daily endoscopic sinus debridement and irrigation with diluted amphotericin B. Because of the intracranial space involvement, the first case died. The second case was successfully managed surgically and medically. Conclusion: Rhino-orbital/cerebral mucormycosis may be developed in COVID-19 patients under treatment with corticosteroid, and requires prompt diagnosis and management.


2005 ◽  
Vol 27 (3) ◽  
pp. 513-513 ◽  
Author(s):  
A NADIR ◽  
M KAPTANOGLU ◽  
F GOZE
Keyword(s):  

2017 ◽  
Vol 141 (6) ◽  
pp. 867-871 ◽  
Author(s):  
Wenqian Chen ◽  
Lisa M. DiFrancesco

Chondroblastoma is a rare primary bone tumor of young people that typically arises in the ends of the long bones. Radiologic investigations show a small, circumscribed, lytic lesion. The tumor is characterized histologically by the proliferation of chondroblasts along with areas of mature cartilage, giant cells, and occasionally, secondary aneurysmal bone cyst formation. Chondroblastoma, however, may also present with atypical features, such as prominent hemosiderin deposition, numerous giant cells, or the presence of a large aneurysmal bone cyst component. Malignant entities such as clear cell chondrosarcoma and chondroblastic osteosarcoma must also be considered. Recently, immunohistochemical stains such as DOG1 and SOX9 have been described in chondroblastoma, and K36M mutations in either the H3F3A or H3F3B genes have also been identified. While generally regarded as a benign entity, chondroblastoma manifests an intermediate type of behavior, given its ability to recur locally, and rarely, metastasize.


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