Optic Neuropathy and Sphenoid Sinusitis: A Case Report

Although the sphenoid sinus is said to be "....the most neglected of nasal sinuses", there have been frequent reports of neuro-ophthalmic dysfunction secondary to neoplastic, inflammatory, and fulminant suppurative processes involving the sphenoid sinus. Chronic infective sinusitis has been less well recognized as a potential etiologic factor in visual system problems. We report the case of a 27 year old woman who presented with symptoms of right optic neuropathy but had signs of bilateral optic nerve dysfunction (OD^ OS).