A Fronto-ethmoidal Sinus Mucocele presenting with optic disc edema

Xia, Yu

doi:10.1016/j.radcr.2021.07.091

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…A 52-year-old man with progressive enlargement of the frontal and anterior ethmoidal sinuses due to mucoceles and unilateral asymptomatic optic disc edema was previously reported. The patient was successfully co-managed by an otorhinolaryngologist with sinus surgery [10]. Likewise, we referred our patient to the otorhinolaryngology department because of the importance of timely management of optic disc swelling, and the patient was free of abnormal signs after combined surgical and medical management.…”

Section: Discussionmentioning

confidence: 94%

“…The mucoinflammatory collections overrode the optic nerve on the right side, resulting in optic disc edema. The absence of a localized finger-like lesion ruled out an ethmoidal sinus polyp [9,10]. Because there was no bilateral optic disc edema and no supportive clinical symptoms or signs, increased intracranial pressure was ruled out [22].…”

Section: Case Presentationmentioning

confidence: 99%

“…It is observed in conditions such as papillitis, acute non-arteritic anterior ischemic optic neuropathy, retinal vein occlusion, trauma, iatrogenic conditions, systemic disease, or any infection or inflammation of the contiguous sinus or orbit [2][3][4][5][6]. Whipple disease [7], mechanical compression of the optic nerve by the adjacent paranasal sinus [8], bacterial sphenoidal sinusitis [9], sinus mucocele [10], drugs [11], unilateral papilledema [12], metastatic carcinoma [13], viral meningitis [14], cerebral arteriovenous malformation [15], and cerebral sinus venous thrombosis [16] are among the reported causes of this condition.…”

Section: Introductionmentioning

confidence: 99%

“…A delay in diagnosis is not uncommon [20] because vision loss is insidious and clinical findings can be missed. Any case of optic disc swelling should be approached in a multidisciplinary fashion to rule out these causes [7,10].…”

Section: Introductionmentioning

confidence: 99%

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Unilateral asymptomatic optic disc edema: do not forget sinusitis

Jacob¹,

Kalikivayi²,

Kalikivayi³

2022

Med Hypothesis Discov Innov Optom

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Background: Optic disc edema is a pathological condition with various causes. Cases of optic disc swelling should be dealt with a multidisciplinary approach to rule out those causes. Unilateral optic disc edema is seen in papillitis, non-arteritic anterior ischemic optic neuropathy, retinal vein occlusion, and infection or inflammation of the contiguous sinus or orbit. Here, we report a rare case of unilateral asymptomatic optic disc edema due to posterior ethmoid sinusitis. Case Presentation: A 53-year-old man presented for a routine 3-monthly follow-up after an uneventful cataract surgery of the right eye. All examinations were unremarkable, except for the right eye optic disc edema on fundus examination, consistent with an enlarged blind spot in the visual field test. Contrast-enhanced magnetic resonance imaging revealed mucosal thickening with muco-inflammatory exudates of the posterior ethmoidal sinus overriding the optic disc on the right side, leading to optic disc edema of the right eye. The patient was diagnosed with unilateral asymptomatic optic disc edema in the right eye due to posterior ethmoid sinusitis and referred to an otorhinolaryngologist for the management. The otorhinolaryngologist performed functional endoscopic sinus surgery and prescribed antibiotics and anti-histamines for 6 weeks. At the final examination, his visual acuity was 6/6, and the fundus examination revealed no optic disc edema. Conclusions: We reported a rare case of unilateral optic nerve edema and visual field loss with a treatable cause. Contemporary imaging provided the accurate diagnosis. Therefore, in cases of disc edema, sinusitis of the adjacent paranasal sinuses should be ruled out as a possible cause of compressive optic neuropathy or inflammation overriding the optic nerve.

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Section: Discussionmentioning

confidence: 94%

Section: Case Presentationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Unilateral asymptomatic optic disc edema: do not forget sinusitis

Jacob¹,

Kalikivayi²,

Kalikivayi³

2022

Med Hypothesis Discov Innov Optom

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Sinus surprise: The rare encounter of frontal mucocele with optic nerve compression

Parande,

Raghavendra,

Sneha

et al. 2024

Journal of Clinical Ophthalmology and Research

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Mucoceles are epithelial-lined cavities filled with sterile mucus that develop due to the obstruction of a sinus ostium. Frontal mucocele is one of the most common among mucoceles. Most of them present with ophthalmic manifestations. Here, we present such a case with ocular symptoms. Despite the absence of thyroid-related symptoms or significant medical history, her examination revealed left eye proptosis, limited ocular motility, optic disc edema, and significant visual loss due to optic nerve compression. Further investigations, including orbital computed tomography, confirmed a frontal mucocele extending into the left orbit. Following endoscopic sinus surgery with mucocele excision, the patient experienced significant improvement in vision, resolution of optic disc edema, and proptosis. This case underscores the importance of considering mucoceles in the differential diagnosis of orbital pathologies. It also highlights the efficacy of endoscopic management in achieving favorable outcomes and emphasizes the significance of interdisciplinary collaboration in optimizing patient care.

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Mucoceles of Paranasal Sinuses

Swain

Panda

2022

Mustansiriya Medical Journal

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Background: Mucoceles of paranasal sinuses are benign expansile mucus-filled cystic lesions due to chronic blockage of the sinus ostia. Due to their expansile growth, may affect nearby vital structures and lead to complications and morbidity. Objective: This study aims to evaluate the details of the clinical profile and management of paranasal sinus mucocele. Materials and Methods: This is a retrospective descriptive study of 54 patients with paranasal sinuses mucoceles that were managed with surgical interventions. Results: The age range of the study participants was between 12 years to 54 years. The mean age of the study patients was 28.61 years. Out of 54 patients, 34 (62.96%) were males and 20 (37.03%) females with a male-to-female ratio of 1.7:1. The frontal sinus (35.18%) was the most common sinus involved with mucocele followed by frontoethmoidal sinus (24.07%), ethmoid sinus, maxillary sinus (14.81%), and sphenoid sinus (9.25%). In this study, the headache was the most common symptom. Conclusion: Paranasal sinus mucocele has diverse clinical presentations. Allergic rhinitis, sinusitis, and radiation to the head-and-neck region are important predisposing factors for causing paranasal sinus mucocele. Orbital symptoms are indicators for prompt surgical intervention. Endoscopic sinus surgery is an effective and safe treatment option for paranasal sinus mucocele.

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A Fronto-ethmoidal Sinus Mucocele presenting with optic disc edema

Cited by 3 publications

References 6 publications

Unilateral asymptomatic optic disc edema: do not forget sinusitis

Unilateral asymptomatic optic disc edema: do not forget sinusitis

Sinus surprise: The rare encounter of frontal mucocele with optic nerve compression

Mucoceles of Paranasal Sinuses

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