Optic neuropathy caused by expanded Onodi cell mucocele

A visual field test revealed the expansion of the Mariotte blind spot, while ocular motility and main cranial nerve function were undisturbed. Wada reported the sphenoid sinus can be opened safely following preoperative assessment of the anterior wall, the position of the superior turbinate, and ost...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2020-06, Vol.13 (6), p.e235311
Main Authors: Morino, Tsunetaro, Yanagihara, Taichi, Kuroyanagi, Hiroki, Ohto, Hiroto
Format: Article
Language:English
Subjects:
Aged
Case reports
Cysts
ear, nose and throat
Ears & hearing
Endoscopy
eye
Humans
Images In
Magnetic Resonance Imaging
Male
Mucocele - pathology
Mucocele - surgery
Optic nerve
Optic Nerve Diseases - diagnostic imaging
Optic Nerve Diseases - etiology
Optic Nerve Diseases - surgery
otolaryngology / ENT
Recovery (Medical)
Sinuses
Surgery
Tomography, X-Ray Computed
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A visual field test revealed the expansion of the Mariotte blind spot, while ocular motility and main cranial nerve function were undisturbed. Wada reported the sphenoid sinus can be opened safely following preoperative assessment of the anterior wall, the position of the superior turbinate, and ostium of the sphenoid sinus.2 Widely opening the sphenoid sinus from the ostium and removing the superior nasal concha confirmed the location of the Onodi cell and opened it without damaging the optic nerve. Endoscopic sinus surgery is frequently used due to its lower complication rate, less invasive nature and earlier patient recovery.3 Onodi cell mucoceles should be considered in the differential diagnosis of unilateral visual loss.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2020-235311