Bilateral compressive optic neuropathy secondary to sphenoid sinus mucocele mimicking bilateral retrobulbar neuritis

Sphenoid sinus mucoceles (SSMs) can rarely cause acute bilateral vision loss. We, hereby, report such a rare case of SSM in a 20-year-old female who presented with sudden onset bilateral diminution of vision. The best-corrected visual acuity was 20/400 in the right eye (RE) and hand movements in the...

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Autores principales: Deb, Amit K., Neena, Aswathi, Sarkar, Sandip, Devraj, Athira, Panicker, Gayathri, Stephen, A. Mary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9266473/
https://www.ncbi.nlm.nih.gov/pubmed/35814987
http://dx.doi.org/10.4103/1319-4534.347312
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author Deb, Amit K.
Neena, Aswathi
Sarkar, Sandip
Devraj, Athira
Panicker, Gayathri
Stephen, A. Mary
author_facet Deb, Amit K.
Neena, Aswathi
Sarkar, Sandip
Devraj, Athira
Panicker, Gayathri
Stephen, A. Mary
author_sort Deb, Amit K.
collection PubMed
description Sphenoid sinus mucoceles (SSMs) can rarely cause acute bilateral vision loss. We, hereby, report such a rare case of SSM in a 20-year-old female who presented with sudden onset bilateral diminution of vision. The best-corrected visual acuity was 20/400 in the right eye (RE) and hand movements in the left eye (LE). Both eyes had sluggish pupillary reactions. Both eyes had normal fundus. Initial treatment was started with a provisional diagnosis of bilateral retrobulbar neuritis, but imaging revealed a large SSM compressing bilateral optic nerves. The patient underwent urgent surgical decompression. Vision in RE improved to 20/20 and LE to 20/400. A high index of clinical suspicion for compressive lesions is needed in all cases of atypical optic neuritis.
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spelling pubmed-92664732022-07-09 Bilateral compressive optic neuropathy secondary to sphenoid sinus mucocele mimicking bilateral retrobulbar neuritis Deb, Amit K. Neena, Aswathi Sarkar, Sandip Devraj, Athira Panicker, Gayathri Stephen, A. Mary Saudi J Ophthalmol Case Report Sphenoid sinus mucoceles (SSMs) can rarely cause acute bilateral vision loss. We, hereby, report such a rare case of SSM in a 20-year-old female who presented with sudden onset bilateral diminution of vision. The best-corrected visual acuity was 20/400 in the right eye (RE) and hand movements in the left eye (LE). Both eyes had sluggish pupillary reactions. Both eyes had normal fundus. Initial treatment was started with a provisional diagnosis of bilateral retrobulbar neuritis, but imaging revealed a large SSM compressing bilateral optic nerves. The patient underwent urgent surgical decompression. Vision in RE improved to 20/20 and LE to 20/400. A high index of clinical suspicion for compressive lesions is needed in all cases of atypical optic neuritis. Wolters Kluwer - Medknow 2022-06-13 /pmc/articles/PMC9266473/ /pubmed/35814987 http://dx.doi.org/10.4103/1319-4534.347312 Text en Copyright: © 2022 Saudi Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Deb, Amit K.
Neena, Aswathi
Sarkar, Sandip
Devraj, Athira
Panicker, Gayathri
Stephen, A. Mary
Bilateral compressive optic neuropathy secondary to sphenoid sinus mucocele mimicking bilateral retrobulbar neuritis
title Bilateral compressive optic neuropathy secondary to sphenoid sinus mucocele mimicking bilateral retrobulbar neuritis
title_full Bilateral compressive optic neuropathy secondary to sphenoid sinus mucocele mimicking bilateral retrobulbar neuritis
title_fullStr Bilateral compressive optic neuropathy secondary to sphenoid sinus mucocele mimicking bilateral retrobulbar neuritis
title_full_unstemmed Bilateral compressive optic neuropathy secondary to sphenoid sinus mucocele mimicking bilateral retrobulbar neuritis
title_short Bilateral compressive optic neuropathy secondary to sphenoid sinus mucocele mimicking bilateral retrobulbar neuritis
title_sort bilateral compressive optic neuropathy secondary to sphenoid sinus mucocele mimicking bilateral retrobulbar neuritis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9266473/
https://www.ncbi.nlm.nih.gov/pubmed/35814987
http://dx.doi.org/10.4103/1319-4534.347312
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