Johnson L N, Hepler R S, Yee R D, Batzdorf U
Am J Ophthalmol. 1986 Jul 15;102(1):111-5. doi: 10.1016/0002-9394(86)90219-9.
Two patients (two men, 56 and 59 years old) had sphenoid sinus mucocele originating in the anterior clinoid process. In one case the mucocele initially mimicked diabetic ophthalmoplegia with pupil-sparing palsy of the oculomotor (third) nerve. After resolution of the palsy, severe visual loss developed with minimal recovery of vision after surgery. The second patient had recurrent episodes of retrobulbar optic neuropathy with optic atrophy and decreased vision. Visual loss from sphenoid sinus mucoceles is usually associated with a poor prognosis if surgical treatment is delayed more than seven to ten days.
两名患者（两名男性，年龄分别为56岁和59岁）患有起源于前床突的蝶窦黏液囊肿。其中1例患者，黏液囊肿最初表现为类似糖尿病性动眼神经麻痹，动眼神经（第三对脑神经）麻痹但瞳孔未受累。麻痹症状缓解后，出现严重视力丧失，术后视力仅略有恢复。第二名患者反复出现球后视神经病变，伴有视神经萎缩和视力下降。如果手术治疗延迟超过7至10天，蝶窦黏液囊肿导致的视力丧失通常预后较差。
