Paik Ji-Sun, Kim Su-Whan, Yang Suk-Woo
Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
Korean J Ophthalmol. 2012 Jun;26(3):212-5. doi: 10.3341/kjo.2012.26.3.212. Epub 2012 May 22.
In this case report we describe a 27-year-old man who presented with progressive enophthalmos for 5 months without any other associated ocular symptoms such as pain, diplopia, or visual disturbance. Computed tomography showed that his progressive enophthalmos originated from a frontoethmoidal mucocele and this caused destruction of the lamina papyracea and shrinkage of the ethmoidal air cell. Finally the enlarged orbital space caused an inward deviation of the eyeball. Endoscopic marsupialization was successfully performed by an otolaryngologist and did not result in any ophthalmologic sequelae. Although frontoethmoidal sinus mucoceles mostly frequently originates from orbital mucoceles, enophthalmic manifestations are very rare. Enophthalmic conditions are not as responsive to surgical interventions as exophthalmic conditions.
在本病例报告中，我们描述了一名27岁男性，其出现进行性眼球内陷5个月，无任何其他相关眼部症状，如疼痛、复视或视觉障碍。计算机断层扫描显示，他的进行性眼球内陷源于额筛窦黏液囊肿，这导致了眶纸板破坏和筛窦气房萎缩。最终，扩大的眶腔导致眼球向内移位。一名耳鼻喉科医生成功实施了内镜下袋形缝合术，且未导致任何眼科后遗症。尽管额筛窦黏液囊肿大多起源于眶黏液囊肿，但眼球内陷表现非常罕见。眼球内陷情况对手术干预的反应不如眼球突出情况。
