Can Sinusitis Cause Diplopia?
Can sinusitis cause diplopia?
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Sinusitis is an inflammation that occurs in the sinus cavities. This inflammation can occur due to many factors, including nasal polyps, deviated nasal septum (sloping abnormally), allergies, respiratory infections, to the presence of other diseases, such as cystic fibrosis, GERD (gastroesophageal reflux disease), HIV, or other immune system disorders that cause blockage of the outlet that connects the sinus cavity to the nasal cavity.
It's true, that sinusitis can cause diplopia. How can this be?
Sinusitis (especially those that occur in the sphenois sinus) that is not handled properly can cause complications in the form of thrombosis (blood clots) in the cavernous sinuses due to an inflammatory process. Meanwhile, in the cavernous sinus there are many carnial nerve fibers, including those that regulate the movement of the eyeball, namely the third, fourth, and sixth carnial nerves. In addition, in this cavernous sinus also passes the ophthalmic and maxillary divisions of the V carnial nerve as well as the internal carotid artery. All of these conditions can cause people with sinusitis to experience diplopia (double vision).
Not only sinusitis, a similar mechanism can also occur in infections that occur around the teeth and eyes, especially those caused by Staphylococcus aureus, anaerobic bacteria, Streptococcus species, and also fungi. In addition to double vision, sufferers of cavernous sinus thrombosis will also experience headaches, which become severe, especially when standing, walking, bending over, or coughing. Patients can also experience other complaints, such as fever, photophobia (more sensitive to light), and so on.
Cavernous sinus thrombosis is one part of a medical emergency that requires IMMEDIATE treatment, namely by administering antibiotics to surgery. You can also do sinus irrigation to clean the infected sinus cavities. Therefore, it requires direct evaluation and treatment by ENT specialists related to this condition.
Hope it helps ..
dr. Nadia Nurotul Fuadah