Journal of Current Ophthalmology

CASE REPORT
Year
: 2021  |  Volume : 33  |  Issue : 2  |  Page : 197--200

Bilateral visual loss caused by pneumosinus dilatans: Idiopathic cases are not always reversible


Kaveh Abri Aghdam, Ali Aghajani, Mostafa Soltan Sanjari 
 Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Ali Aghajani
Eye Research Center, The Five Senses Institute, Rassoul Akram Hospital, Sattarkhan-Niayesh St., Tehran 14456-13131
Iran

Purpose: To report a rare case of primary pneumosinus dilatans (PSD) and to specify the cardinal imaging findings associated with this condition. Methods: A 20-year-old patient presented with bilateral profound visual loss as a result of primary PSD. A detailed review of clinical findings and presumed pathophysiological basis of vision loss was performed. Results: Other than undiagnosed primary hypothyroidism, no other abnormalities were found. With the diagnosis of PSD, the patient underwent optic nerve decompression through transnasal sphenoidotomy. However, after nine months of follow-up, no improvement in the patient's vision was attained. Conclusion: Unlike previous reports of favorable visual results after sphenoidotomy and bilateral decompression of the optic nerves, vision recovery was not achieved in this case.


How to cite this article:
Aghdam KA, Aghajani A, Sanjari MS. Bilateral visual loss caused by pneumosinus dilatans: Idiopathic cases are not always reversible.J Curr Ophthalmol 2021;33:197-200


How to cite this URL:
Aghdam KA, Aghajani A, Sanjari MS. Bilateral visual loss caused by pneumosinus dilatans: Idiopathic cases are not always reversible. J Curr Ophthalmol [serial online] 2021 [cited 2021 Dec 1 ];33:197-200
Available from: http://www.jcurrophthalmol.org/article.asp?issn=2452-2325;year=2021;volume=33;issue=2;spage=197;epage=200;aulast=Aghdam;type=0