González F, García A, Prieto A
Complejo Hospitalario Universitario de Santiago de Compostela, Servicio de Oftalmología y Departamento de Fisiología, Facultad de Medicina, Universidad de Santiago de Compostela, España.
Arch Soc Esp Oftalmol. 2005 May;80(5):301-3.
We report a case of a large mucocele occurring in a 64-year-old male. The patient presented with severe proptosis and long standing complete visual loss of the left eye. Computer tomography showed a large cystic mass arising from the left fronto-ethmoidal sinus that invaded the orbit and the anterior cranial fossa. Additional ophthalmologic findings were retinal hemorrhages, optic disc swelling, chorio-retinal folds and a complete afferent pupillary defect of the left eye. Surgical management of the mucocele resolved the proptosis and retinal hemorrhages but the visual loss and the chorio-retinal folds persisted.
Mucoceles of the periorbital sinus may cause chorio-retinal alterations, optic neuropathy and permanent vision loss.
我们报告一例发生在一名64岁男性身上的巨大黏液囊肿。患者表现为严重眼球突出，左眼长期完全失明。计算机断层扫描显示一个源自左额筛窦的巨大囊性肿块，侵犯了眼眶和前颅窝。其他眼科检查发现包括视网膜出血、视盘肿胀、脉络膜视网膜皱褶以及左眼完全性传入性瞳孔障碍。黏液囊肿的手术治疗缓解了眼球突出和视网膜出血，但视力丧失和脉络膜视网膜皱褶仍然存在。
眶周鼻窦黏液囊肿可能导致脉络膜视网膜改变、视神经病变和永久性视力丧失。
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