OPTIC NEURITIS FOLLOWING ENDOSCOPIC SINUS SURGERY

A case report of optic neuritis, a previously unreported complication following endoscopic sinus surgery, is presented with a review of the diagnosis, postulated pathophysiology, and treatment. Optic neuritis i s an inflammatory condition involving the optic nerve and should be co nsidered in the differential diagnosis in patients who present with oc ular complaints following endoscopic sinus surgery. Aggressive evaluat ion including computed tomography of the orbit and paranasal sinuses t o rule out retroorbital hematoma, abscess or bony dehiscence, as well as ophthalmology consultation is essentiaL Prompt recognition of optic neuritis and institution of high dose corticosteroids and antibiotics may prevent visual loss.