Sheth Hiten G, Goel Ravi
Department of Ophthalmology, Queen Mary's Hospital, Sidcup, Kent, UK.
Int Ophthalmol. 2007 Dec;27(6):365-7. doi: 10.1007/s10792-007-9082-5. Epub 2007 May 8.
Mucocoeles are cyst-like lesions of the paranasal sinuses, which may rarely erode through the bony orbit and so displace or compress orbital contents. Such patients may present to ophthalmologists and other health care professionals with diverse problems including facial pain and swelling, proptosis, double vision, ptosis, infra-orbital anaesthesia, epiphora and optic nerve dysfunction with reduced vision. We present an illustrated interventional case report of an 81-year-old gentleman with a 2-week history of swelling around the left lower eyelid and malar region associated with double vision both in the primary position and particularly downgaze. We discuss the aetiology, diagnosis and contemporary management of maxillary mucocoeles and also the Caldwell-Luc procedure. The article serves as a reminder that maxillary mucocoeles may slowly and covertly invade the orbit and should be considered in the differential diagnosis in patients presenting with proptosis, globe displacement and an orbital or adnexal mass.
黏液囊肿是鼻窦的囊肿样病变，极少情况下可侵蚀穿过眶骨，从而移位或压迫眶内容物。此类患者可能会因各种问题就诊于眼科医生及其他医疗保健专业人员，这些问题包括面部疼痛和肿胀、眼球突出、复视、上睑下垂、眶下麻醉、溢泪以及视力下降导致的视神经功能障碍。我们呈现一例81岁男性患者的介入病例报告并配有插图，该患者有2周的左下眼睑和颧部肿胀病史，在第一眼位尤其是向下注视时伴有复视。我们讨论了上颌窦黏液囊肿的病因、诊断和现代治疗方法，以及柯-陆氏手术。本文旨在提醒大家，上颌窦黏液囊肿可能会缓慢且隐匿地侵犯眼眶，对于出现眼球突出、眼球移位以及眼眶或附属器肿物的患者，在鉴别诊断时应考虑到该病。
