22/04/2022
โ๐๐ก๐ฒ ๐ข๐ฌ ๐ฌ๐ข๐ง๐ฎ๐ฌ๐ข๐ญ๐ข๐ฌ ๐๐ฒ๐ ๐๐จ๐ฆ๐ฉ๐ฅ๐ข๐๐๐ญ๐ข๐จ๐ง๐ฌ?โ
๐Eyes are one of the most affected organs when sinusitis. This is regulated by the structure and location of the sinus system. In the sinus system, there are frontal sinuses, maxillary sinuses, anterior and posterior ethmoid sinuses, and sphenoid sinuses that surround the eyes on all sides.
In particular, the maxillary sinus, anterior ethmoid sinus, the frontal sinus surrounding the orbit, the posterior ethmoid sinus and the sphenoid are related to the posterior orbit, the optic nerve. Any form of sinusitis will directly affect the eyes and appendages. That is also the reason why the risk of sinusitis and eye complications is up to 85%.
In fact, sinusitis often causes dangerous eye complications such as:
๐Posterior optic neuritis
The posterior ethmoid sinus and the sphenoid sinus are located near the optic nerve, so when infected, it is easy to cause complications here. Optic neuritis is also one of the most dangerous eye complications because the symptoms of the disease are not clear. Patients often experience sudden vision loss, blurred vision on one or both sides.
๐Inflammation of the eye socket
Damage to the inside of the eye socket can lead to permanent blindness. The patient will have to remove the eye socket with purulent inflammation. This is a common complication in patients with severe, purulent sinusitis. The common age is 2-3 years old and less common in older children.
In adults, patients at risk for this complication mainly have purulent frontal sinusitis. When suffering from orbital inflammation, the patient often has symptoms such as severe eye pain, the orbit is under pressure, so it bulges out, the eyelids are swollen and difficult to open. The ability to squint is poor, vision gradually declines until the ability to see is completely lost.
๐Conjunctivitis
Conjunctivitis is not too dangerous but causes a lot of discomfort for the patient. People with conjunctivitis often have red eyes, mild pain, eyes with a lot of mucus, eyes closed, eyes stinging, tearing a lot, vision blurred than normal.
Conjunctivitis often occurs during acute episodes of sinusitis and is most common in young children. In people with allergic sinusitis, it often happens every time the disease recurs as a result of exposure to an allergen.
๐Inflammation โ eyelid abscess, lacrimal sac
This is a complication of damage to the front part, so it is not as dangerous as the above complications. However, swollen eyelids and tear bags also cause the patient to experience a lot of discomfort and pain.
Most patients with eyelid inflammation, tear bags often have a lot of eye discharge in the corners of the eyes, making it difficult to open the eyes after waking up. The eyelids are red, swollen, often in the state of a lot of tears, wet and sticky due to inflammatory pus.
However, if the tear duct is blocked, the patient will have symptoms of dry eyes, difficulty seeing and observing. Abscess of the lacrimal sac, if ruptured, can form a chronic fistula and cannot be cured.
๐Inflammation of the connective tissue around the eye socket
Periorbital connective tissue inflammation can be present even in the acute phase of sinusitis. Patients may experience severe eye pain that radiates from the eye sockets to the temples and top of the head. At the same time, the eyelids are often swollen, painful, feel hot and may collect pus.
The disease can cause conditions such as fixation of the eyeball due to oculomotor paralysis, dilated pupils due to paralysis, or loss of sensation in the cornea. The patient will have to undergo surgery instead of just antibiotic treatment.
๐Signs to recognize sinusitis, common eye complications
When you have sinusitis, if you experience the following symptoms, it is likely that you have eye complications:
โข Unusual orbital pain
โข Heavy eyelids, drooping eyelids, abnormal swelling and redness
โข Red eyes like conjunctivitis, frequent tears
โข There may be red, puffy eyes when an abscess is present
โข Eyes are increasingly blurred, vision declines
โข Protruding eyes, the iris protruding more than usual is a sign of orbital inflammation
Sometimes, the patient may not have any signs of inflammation, but vision gradually deteriorates until it is completely invisible. This is often seen in patients with sinusitis complicating posterior optic neuritis. If the patient notices the above abnormal signs when having sinusitis, immediately contact the doctor and visit the hospital for an accurate diagnosis.
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