Optic Neuropathy due to an Ethmoid Mucocele: A Case Report and Literature Review.

Autor: Ting MYL; University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom.; Department of Oculoplastics, Keck Medicine of USC, Los Angeles, California, USA., Shan M; Department of Oculoplastics, Keck Medicine of USC, Los Angeles, California, USA., Gantz O; USC Caruso Department of Otolaryngology - Head and Neck Surgery, Los Angeles, California, USA., Zhang-Nunes S; Department of Oculoplastics, Keck Medicine of USC, Los Angeles, California, USA., Wrobel B; USC Caruso Department of Otolaryngology - Head and Neck Surgery, Los Angeles, California, USA.
Jazyk: angličtina
Zdroj: Case reports in ophthalmology [Case Rep Ophthalmol] 2019 Aug 06; Vol. 10 (2), pp. 227-234. Date of Electronic Publication: 2019 Aug 06 (Print Publication: 2019).
DOI: 10.1159/000501898
Abstrakt: Mucoceles of the paranasal sinus commonly involve the frontal sinuses, the ethmoid sinuses, and rarely the maxillary or sphenoid sinuses. They often present with sinus pain or pressure, but rarely can present with more severe symptoms such as changes in mental status or vision due to expansion and invasion through the skull base or orbit. A 62-year-old male presented with optic neuropathy, a relative afferent pupillary defect with proptosis and lateral gaze palsy of the left eye. The patient was found to have a large mucocele extending from the left posterior ethmoid sinus into the left orbital apex. Urgent endoscopic sinus surgery was performed jointly between Oculoplastics and Otolaryngology. Post-operatively, the patient had improvement in diplopia, extraocular motion, and proptosis with stable vision. This case demonstrates the importance of early identification and intervention in a rare presentation of a sinus mucocele to prevent serious complications such as vision loss.
Competing Interests: The authors have no conflicts of interest to declare. The authors alone are responsible for the content and writing of the paper.
(Copyright © 2019 by S. Karger AG, Basel.)
Databáze: MEDLINE
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