A Case of Compressive Optic Neuropathy Caused by Sphenoid Sinus Mucocele.

Kim, Inchul; Kim, Myoungwha; Chung, Youngtae

Case Report

Journal of the Korean Ophthalmological Society 1989;30(6):1025-1029.
Published online June 1, 1989.

A Case of Compressive Optic Neuropathy Caused by Sphenoid Sinus Mucocele.

Inchul Kim, Myoungwha Kim, Youngtae Chung

Department of Ophthalmology, Presbyterian Medical Center, Chonju, Korea.

접형동 점액종에 의한 압박성 시신경병 1 예

김인철(In Chul Kim),김명화(Myoung Wha Kim),정영태(Young Tae Chung)

Abstract

One of causes of compressive optic neuropathy is the sphenoid mucoceles which occur when the dranage of sinus is blocked. Mucocele of sphenoid sinus is rare, compressive to optic nerve and often misdiagnosed as pituitary tumor. We experienced a case of sphenoid sinus mucocele causing progressive visual disturbance, visual field defect, exophthalmos and headache. Plain skull and brain CT scan demonstrated sphenoid sinus mucocele. The visual acuity and visual field dramatically improved after surgery. Therefore early accurate detection and early surgical treatment are emphasized.

Key Words: Compressive Optic Neuropathy;Sphenoid mucocele;Visual disturbance;Exophthalmos;Brain C-T