Varied Ophthalmic Presentations in Sphenoid Sinus Lesions

JOURNAL TITLE: An International Journal Clinical Rhinology

Author
1. Rahul Gupta
2. Prarthna S Dhameja
3. Virag Damania
4. RG Aiyer
ISSN
0974-4630
DOI
10.5005/jp-journals-10013-1064
Volume
4
Issue
1
Publishing Year
2011
Pages
6
Author Affiliations
    1. Govt Medical College and SSG Hospital, Vadodara, Gujarat, India
    1. Department of ENT and Head and Neck Surgery, Government Medical College and SSG Hospital Vadodara, Gujarat, India
    1. Department of ENT and Head and Neck Surgery, Government Medical College and SSG Hospital Vadodara, Gujarat, India
    1. Department of ENT and Head and Neck Surgery, Government Medical College and SSG Hospital Vadodara, Gujarat, India
  • Article keywords
    Endoscopic sinus surgery, Paranasal sinus, Mucocele, Sphenoid sinus, Computed tomography, Magnetic resonance imaging

    Abstract

    Sphenoid sinus lesions can present with a multitude of symptoms/signs including ophthalmic disturbances.

    We describe a total of five patients, of which two had mucoceles and rest three had fungal infection. Ophthalmic symptoms/signs were the ones we were really interested in. We also present one case which had isolated sphenoid fungal sinus. We also give details of their presentation, investigations and treatment. Possible ocular manifestations of mucoceles and the diagnostic imaging techniques used are discussed. The treatment of mucoceles is reviewed. It is stressed that a team approach involving the ophthalmologist, otolaryngologist and radiologist is essential for accurate diagnosis and management.

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