A prospective study of ocular involvement secondary to ear, nose and throat disorders in a tertiary care centre, Telangana


  • Novshaba . Department of ENT, Ayaan Institute of Medical Sciences, Hyderabad, India
  • Ivaturi Phani Bhushan Department of ENT, Government Medical College and Hospital, Nalgonda, Telangana,
  • L. Sudarshan Reddy Department of ENT, Osmania Medical College, Government ENT Hospital, Koti, Hyderabad, India
  • Jaina Divya Department of ENT, Osmania Medical College, Government ENT Hospital, Koti, Hyderabad, India




Maxillo-facial trauma, Fungal granuloma, Fibrous dysplasia, Proptosis, Preseptal cellulitis, Total maxillectomy


Background: Eye lies in close anatomical relation to ear, nose and throat due to which it is liable to get involved secondary to ENT disorders. Hence ENT disorders can manifest with varied ocular symptoms due to involvement of orbit and its content. Early diagnosis and treatment helps in reducing the mortality associated with it.

Methods: All age group of patients presenting with ocular symptoms secondary to ENT disorders were reported accounting to 171 cases during 2 years of duration (June 2017-June 2019). Data regarding age, gender, clinical profile, etiology and management were collected and statistical analysis was done.  

Results: The maximum incidence was in young and middle aged group of patients. Males were most commonly affected. The majority of them were Infective or granulomatous (59, 34%) followed by traumatic (45, 26%) and neoplastic (44, 26%). The most common ocular involvement was proptosis (53) and the most common etiology was neoplastic (32 neoplastic cases caused proptosis) of which sinonasal squamous cell carcinoma (SCC) (8) followed by juvenile nasopharyngeal angiofibroma (JNA) (7) were the most common neoplastic cause for proptosis.

Conclusions: Early recognition and management can pave the path to prevention of mortality and morbidity associated with ocular involvement secondary to ear, nose, throat (ENT) disorders.


Bier H, Ganzer U. Involvement of the orbit in diseases of the paranasal sinuses. Neurosurg Rev. 1990;13(2):109-12.

Sikarwari V, Bishti RS, Kumari D, Shukla RK. Ophthalmic manifestations in ENT diseases and surgical procedures. IOSR J Dent Med Sci. 2013;11(4):87-92.

Jones HM. Some orbital complications of nose and throat conditions. J Royal Societ Med. 1981;74(6):409-14.

Kumar A, Chauhan JPS, Bhadouriya SKS, Bharti B, Narain P, Singh J. Orbital complications of ENT diseases. Int J Otorhinolaryngol Head Neck Surg. 2018;4(1):210-6.

Ghosh D, Khanna S, Baruah DK. Ophthalmological manifestations of ENT diseases: an overview. Indian J Otorhinolaryngol Head Neck Surg. 2013;65(3):197-202.

Malik TG, Farooq K, Rashid A. Paranasal Sinuses and Nasal Cavity; The Notorious Neighbours of Orbit. Profession Med J. 2011;18(1):154-9.

Goodwin WJ. Infectious and inflammatory diseases of the orbit. Otolaryngologic Clinics North Am. 1988;21(1):65-75.

Sayed YEl. Orbital involvement in sinonasal disease. Saudi J Ophthalmol. 1995;9(1):29-37.

Purayi JP, Sangole V, Kumar KR. A rare case of nasal vestibulitis complicating as bilateral preseptal cellulitis. IOSR J Dent Med Sci. 2018;17(10):04-6.

Thiagarajan B, Ulaganathan V. Fracture nasal bones. Otolaryngology online journal. 2013;3(1):1-16.

Bhatti T, Stankewicz JA. Ophthalmic complications of endoscopic sinus surgery. Survey Ophthalmol J. 2003;48(4):389-99.

Conley J, Baker DC. Management of the eye socket in cancer of paranasal sinuses. Arch Otolaryngol. 1979;105(12):702-5.

Leonard TJK, Stanford MR, Graham EM, Sanders MD. Graves’ disease presenting with bilateral acute painful proptosis, ptosis, ophthalmoplegia, and visual loss. The Lancet. 1984;324(8400):431-3.

Sinha V, Bharadwaj D, George A, Memon RA. Proptosis through eyes of ENT surgeon. Indian J Otolaryngol Head Neck Surg. 2005;57(3):207-9.






Original Research Articles