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

Year: 2021

Type: article

Abstract: 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.

Source: Saudi Journal of Ophthalmology

DOI: 10.4103/1319-4534.347312

Authors: Amit K. Deb, Aswathi Neena, Sandip Sarkar, Athira Devraj, Gayathri Panicker, A. Mary Stephen

Institution: Jawaharlal Institute of Post Graduate Medical Education and Research

Language: English

Topic: Cerebral Venous Sinus Thrombosis

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4285020902

FWCI: 0.265

Cites: 9

Cited by: 4

Related to: 10