Laughter-Induced Transient Vision Loss in a Patient With Silent Sinus Syndrome

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Title Laughter-Induced Transient Vision Loss in a Patient With Silent Sinus Syndrome
Creator Sara N. Reggie, MD; Krishna Kalyam, MD; John B. Holds, MD; Sophia M. Chung, MD
Affiliation Department of Ophthalmology (SNR, JBH, SMC), St. Louis University School of Medicine, St. Louis, Missouri; Department of Ophthalmology and Visual Sciences (KK), Washington University in St. Louis, St. Louis, Missouri; and Ophthalmic Plastic and Cosmetic Surgery Inc. (JBH), St. Louis, Missouri
Abstract BACKGROUND:To report a patient with silent sinus syndrome (SSS) who experienced transient ipsilateral monocular vision loss during intense laughter. METHODS: Case report. RESULTS: Our patient's transient vision loss completely resolved after maxillary sinus decompression and during 7 months of follow-up. CONCLUSIONS: Although the precise mechanism of our patient's vision loss remains undetermined, we suspect that the vascular supply to the eye and/or the optic nerve was compromised as the result of the combination of laughter (causing Valsalva maneuver and increased intrathoracic pressure) and SSS.
Subject Transient Vision Loss; Laughter; Silent Sinus Syndrome
OCR Text Show
Date 2018-03
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, December 2018, Volume 38, Issue 1
Collection Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6cc5cvc
Setname ehsl_novel_jno
ID 1404058
Reference URL https://collections.lib.utah.edu/ark:/87278/s6cc5cvc
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