Acute visual loss secondary to ruptured sinus mucoceles

Peng, Si-Liang; Archambault, P; Conti, Thomas; Arthurs, Bryan

doi:10.1016/j.jcjo.2016.06.015

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Although a regression in the post-surgical complaints is expected, especially patients with loss of vision may develop permanent visual loss [10]. All the disorders in our case were recovered in a year.…”

Section: Discussionmentioning

confidence: 50%

Ophthalmoplegia secondary to left sphenoid sinus mucocele

Yaslikaya¹,

Toplu²,

Demir³

et al. 2017

Med-Science

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Sphenoid sinus mucocele (SSM) is rare and constitutes 1-2% of all paranasal sinus mucoceles. In general, patients present with symptoms such as headache, swelling of the face, nasal obstruction, proptosis, disturbance of globe movements, diplopia and visual loss. In this article, we present a case of ophthalmoplegia which is diagnosed with rare SSM. A 72-year-old man was admitted with an upper respiratory tract infection and concomitant complaints of low left eye lid, diplopia and retroorbital headache. On examination, there were left ptosis and paralysis in all globe movements except for the outward gaze. The patient's diplopia increased in downward gaze. Fundoscopy was normal. CT revealed a hypodense mass in the left sphenoid sinus that was compatible with a mucocele of about 3x2 cm. The patient was diagnosed with SSM and we performed emergency surgery. Sphenoid sinus mucoceles are very rare and benign lesions, but they can permanently damage the surrounding vital structures. Patients with headache and cranial nerve pathologies should be suspected of SSM. Surgical treatment of SSM by transnasal endoscopic approach can be preferred because of its ease of application and low morbidity and recurrence rates. Early surgical intervention can prevent the damages that will develop in patients.

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Section: Discussionmentioning

confidence: 50%

Ophthalmoplegia secondary to left sphenoid sinus mucocele

Yaslikaya¹,

Toplu²,

Demir³

et al. 2017

Med-Science

View full text Add to dashboard Cite

show abstract

Orbital and Eyelid Inflammation With “Muciphages” and Extravasated Mucin From an Ethmoido-orbital Mucocele

Dempsey¹,

Tooley²,

Patel³

et al. 2020

Ophthalmic Plastic &Amp; Reconstructive Surgery

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A 22-year-old woman presented with an acute compressive optic neuropathy due to a ruptured ethmoido-orbital mucocele. She underwent urgent orbital decompression and drainage of the mucocele via an endoscopic approach. Postoperatively, her course was complicated by an orbital compartment syndrome supervened, exhibiting severe eyelid edema caused by infiltration with mucin and mucin-containing macrophages (“muciphages”). Biopsy of the eyelid showed infiltration with “muciphages,” macrophages laden with extravasated mucinous material. This is the first report that documents the clinical and histopathologic course of orbital inflammation following mucocele extravasation into the orbit and eyelids.

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Acute visual loss secondary to ruptured sinus mucoceles

Abstract: Cyclophosphamide-dexamethasone pulsed therapy for treatment of recalcitrant necrobiotic xanthogranuloma with paraproteinemia and ocular involvement.

Cited by 2 publications

References 8 publications

Ophthalmoplegia secondary to left sphenoid sinus mucocele

Ophthalmoplegia secondary to left sphenoid sinus mucocele

Orbital and Eyelid Inflammation With “Muciphages” and Extravasated Mucin From an Ethmoido-orbital Mucocele

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