Interesting hypothesis about sinusitis related strabismus. Even though these are just case studies and not a double blind test, Dr. Ludwig is pointing out some interesting observations linking sinusitis and strabismus. The concept is in its infancy but is intriguing.
I have wondered myself about sinusitis and strabismus. I had sinus surgery previously (complete ethmoidectomy and deviated septum, basically cleared out all my sinuses ) and had my sense of smell tested ( congenital anosmia, born with decreased sense of smell). I have always thought that not getting much oxygen in the body would affect a lot of my physical problems, especially my neurological problems including the eyes. And I have seen a small improvement in vision with depth depth perception as my sinus problems have gotten better.
Think about it. Oxygen is key to many metabolic processes.
I have also wondered about having any problems with my facial structure. I have a long face and I wonder if my orbital bones are out of whack.
dr. Ludwig is hypothesizing that there is a link between strabismus and sinusitis. Treating sinusitis can avoid eye surgery in some cases. Sinusitis creates infections that weaken eye nerves and muscles. Opthamological complications of sinusitis are well known in the literature: cellulitis, orbital abscesses, etc. Many strabismuses due to sinusitis have been attributed to cranial nerve involvement, ie palsy. Vertical diplopia linked with chronic sinusitis has been due to orbital floor collapse.
All this is just a hypothesis but still intriguing.