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       XXVII Annual Congress of the Iranian Society of Ophthalmology        بـیــست و هفتمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Sphenoid sinus mucocele presenting as retrobulbar optic neuritis
Author(s): Mostafa Soltan Sanjari, Kaveh Abri Aghdam, Mahya Ghazi Zadeh
Presentation Type: Poster
Subject: Strabismus & Neuro-ophthalmology
Others:
Presenting Author:
Name: Kaveh Abri Aghdam
Affiliation :(optional) Eye research Center, Rassoul Akram Hospital, Iran University of Medical Sciences
E mail: kaveh_abri@yahoo.com
Phone:
Mobile: 9120889505
Purpose:

To describe a rare case of sphenoid sinus mucocele presenting as retrobulbar neuritis and to highlight the role of imaging in diagnosis and treatment planning.

Methods:

A 27-year-old woman noted a subacute decrease in vision in her right eye which was compatible with optic neuritis. Magnetic resonance imaging (MRI) showed a large sphenoid mass compatible with sphenoid sinus mucocele.

Results:

The mucocele was removed by an ENT specialist and the diagnosis was confirmed by pathology; the patient was also treated with high dose corticosteroid, and then progression of the disease was stopped. Unfortunately, no significant improvement in the vision was achieved.

Conclusion:

This report emphasizes on the important role of imaging for distinguishing between different causes of optic neuritis. A high index of clinical suspicion along with appropriate imaging studies can help us diagnose rare causes. With timely management, gratifying results may be obtained.

Attachment: 47sphenoid.pptx





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