Korean Journal of Optometry and Vision Science 2014;13(1):27-31.
Published online June 30, 2014.
A Case of Paranasal Sinus Mucocele Manifested by Diplopia
Seung Yong Choi, Byul Lyu, Hye Bin Yim
Department of Ophthalmology and Visual Science, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine1, Seoul, Korea
Department of Ophthalmology and Visual Science, Incheon St. Mary’s Hospital, The Catholic University of Korea College of Medicine2, Incheon, Korea
Abstract
We report a case of paranasal sinus mucocele manifested by diplopia, which was treated with endoscopic marsupialization. A
51-year-old female visited our clinic complaining of binocular diplopia for a month. Ocular examinations showed exophthalmos,
adduction and elevation limitation on her right eye. Right anterior ethmoidal sinus mucocele was diagnosed by contrast-enhanced
CT and endoscopic marsupialization was performed. On first post-operative day, diplopia and limitation of ocular movement
disappeared. There was no postoperative complications and recurrence of the mucocele until 49 months after operation. In patients
with acute diplopia, comprehensive investigation for underlying pathology is mandatory. The patient with mucocele has to
be evaluated with radiologic study. After the confirmation of diagnosis, endoscopicmarsupialization is could be a successful
strategy of treatment.
(Korean J Optom Vis Sci 2014;13(1):27-31)
Key Words: Diplopia, Endoscopic sinus surgery, Mucocele, Orbit


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