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The bride suddenly went blind and vision restored in our hospital


    Patient Wang, from Shanxi, Linfen, whose left visus decreased without any incentive last week, could only perceive the light in front of her eyes and was accompanied by dizziness, which worried her and her families. She went blind at young age, moreover, she just got married and had no idea of the future life. She visited the local ophthalmic hospital, and the examination revealed that a tumor grew in aethmoid sinus which caused oppression of the optic nerve, resulting in partial loss of vision. One week of conservative treatment was over and there was no significant improvement. The doctor told her that surgery was needed. The difficulty and risk of the operation was high. It was necessary to remove the tumor in the operation and to fully decompress the optic nerve, otherwise the vision could never be recovered, and even worse, she would be completely blind.
    There was a gloomy atmosphere among her family.  With a glimmer of hope, they visited the Department of ENT in Xi'an Center Hospital. The director Quan Boyuan examined the patient. He pointed out that the ethmoidal cystis was located in the Onodi air-cell, which was part of the posterior ethmoid sinus. The tumorextended outwardly to the level above the sphenoid sinus. Its anatomical location indicated that the optic canal might be exposed to the over-vaporized Onodi air-cell. The patient's lesion happend to be located in the over-vaporized Onodi air-cell, causing the osseous structure of the optic canal to crush under pressure and neural degeneration and resulting in loss of vision. Surgical resection of lesion and decompression of optic canal should be performed as early as possible. The requirements of the operation were as follows: first, completely remove the tumor, including lesions around the optic canal, and fully decompress it; second, the operation should be performed meticulously to avoid the second damage to the compressed optic nerve, causing further deterioration of the vision; third, hemostasis should be done thoroughly in the operation area. Because of the inability to stop the blood by tamping after the operation in nasal cavity, the difficulty of the operation was obviously increased. The patient's desire for light and a yearning for a better life in the future made every medical staff felt l a great responsibility on them. After full communication with patient and her families and careful discussion before operation, chief physician Quan Boyuan and physician Liu Fei worked in close cooperation to implement he resection of the ethmoid tumor and the decompression of the optic canal successfully on August 7, 2017 at the Department of ENT.  Resuscitated from narcotism, the patient excitedly said, "I can see clearly my hands." Everyone felt very happy for her, and the medical staff felt relieved.
    After careful treatment and care of the medical staff, her visual acuity recovered gradually. Four days later, the patient could see clearly the visual acuity chart in 1.5 meters and her visual acuity was restored to 0.03. The patient and her families were very satisfied with the operation and treatment. They thanked the ENT department of Xian Central Hospital for making her vision restored and saving her family.