Xia Yu
Department of Ophthalmology, Beijing Aerospace General Hospital, Fengtai District, Beijing, China.
Radiol Case Rep. 2021 Sep 2;16(11):3410-3413. doi: 10.1016/j.radcr.2021.07.091. eCollection 2021 Nov.
The frontal and anterior ethmoidal sinus mucoceles may enlarge progressively and invade into the orbit by destructing the bony walls of the sinuses leading to diplopia or proptosis, but it rarely result in optic nerve impairment. We report on a case of fronto-ethmoidal sinus mucoceles presenting with unilateral optic disc edema without visual disturbances. Ocular manifestations, radiographic techniques, and histopathological evaluation were used to make the diagnosis. Early diagnosis through a combination of ophthalmological examinations and radiographic techniques is imperative in patients with fronto-ethmoidal sinus mucoceles presenting with optic disc edema. It is important for the ophthalmologist to be aware of the ocular manifestations associated with sinus mucoceles to avoid misdiagnosis.
额窦和前组筛窦黏液囊肿可逐渐增大,并通过破坏鼻窦骨壁侵入眼眶,导致复视或眼球突出,但很少导致视神经损害。我们报告1例额筛窦黏液囊肿患者,表现为单侧视盘水肿但无视力障碍。通过眼部表现、影像学技术和组织病理学评估进行诊断。对于出现视盘水肿的额筛窦黏液囊肿患者,通过眼科检查和影像学技术相结合进行早期诊断至关重要。眼科医生了解与鼻窦黏液囊肿相关的眼部表现以避免误诊很重要。