Recovery of Visual Function in a Patient with an Onodi Cell Mucocele Compressive Optic Neuropathy Who Had a 5-Week Interval between Onset and Surgical Intervention: A Case Report

Purpose. To report on a patient with compressive optic neuropathy secondary to an Onodi cell mucocele, who fully recovered visual function following surgery. Method. Case report. Results. A 28-year-old male was admitted with a right visual acuity of 20/100 following treatment for an initial diagnosi...

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Main Authors: Wencan Wu, Michelle T. Sun, Paul S. Cannon, Shi Jianbo, Dinesh Selva
Format: Article
Language:English
Published: Hindawi Limited 2010-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2010/483056
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spelling doaj-11e2d9acdee24be1a36bf7bca915d2212020-11-25T01:00:58ZengHindawi LimitedJournal of Ophthalmology2090-004X2090-00582010-01-01201010.1155/2010/483056483056Recovery of Visual Function in a Patient with an Onodi Cell Mucocele Compressive Optic Neuropathy Who Had a 5-Week Interval between Onset and Surgical Intervention: A Case ReportWencan Wu0Michelle T. Sun1Paul S. Cannon2Shi Jianbo3Dinesh Selva4Eye Hospital of Wenzhou Medical College, Wenzhou, Zhejiang 325027, ChinaOculoplastic and Orbital Division, Discipline of Ophthalmology and Visual Sciences, The University of Adelaide and South Australian Institute of Ophthalmology, Adelaide, SA 5000, AustraliaOculoplastic and Orbital Division, Discipline of Ophthalmology and Visual Sciences, The University of Adelaide and South Australian Institute of Ophthalmology, Adelaide, SA 5000, AustraliaThe Department of Otorhinolaryngology, First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, ChinaOculoplastic and Orbital Division, Discipline of Ophthalmology and Visual Sciences, The University of Adelaide and South Australian Institute of Ophthalmology, Adelaide, SA 5000, AustraliaPurpose. To report on a patient with compressive optic neuropathy secondary to an Onodi cell mucocele, who fully recovered visual function following surgery. Method. Case report. Results. A 28-year-old male was admitted with a right visual acuity of 20/100 following treatment for an initial diagnosis of optic neuritis. Subsequent examination suggested compressive optic neuropathy, and neuroimaging confirmed the presence of an Onodi mucocele compressing the optic nerve. The patient underwent a right endonasal sphenoethmoidectomy with decompression 5 weeks after the initial onset of symptoms. Three weeks following surgery, the visual acuity was 20/20, and there was complete resolution of the visual field defect, which has remained stable at 1 year. Conclusion. Onodi cell mucocele should be included in the differential diagnosis of a young patient with compressive optic neuropathy. Surgical decompression should be considered even when symptoms have been present for over a month.http://dx.doi.org/10.1155/2010/483056
collection DOAJ
language English
format Article
sources DOAJ
author Wencan Wu
Michelle T. Sun
Paul S. Cannon
Shi Jianbo
Dinesh Selva
spellingShingle Wencan Wu
Michelle T. Sun
Paul S. Cannon
Shi Jianbo
Dinesh Selva
Recovery of Visual Function in a Patient with an Onodi Cell Mucocele Compressive Optic Neuropathy Who Had a 5-Week Interval between Onset and Surgical Intervention: A Case Report
Journal of Ophthalmology
author_facet Wencan Wu
Michelle T. Sun
Paul S. Cannon
Shi Jianbo
Dinesh Selva
author_sort Wencan Wu
title Recovery of Visual Function in a Patient with an Onodi Cell Mucocele Compressive Optic Neuropathy Who Had a 5-Week Interval between Onset and Surgical Intervention: A Case Report
title_short Recovery of Visual Function in a Patient with an Onodi Cell Mucocele Compressive Optic Neuropathy Who Had a 5-Week Interval between Onset and Surgical Intervention: A Case Report
title_full Recovery of Visual Function in a Patient with an Onodi Cell Mucocele Compressive Optic Neuropathy Who Had a 5-Week Interval between Onset and Surgical Intervention: A Case Report
title_fullStr Recovery of Visual Function in a Patient with an Onodi Cell Mucocele Compressive Optic Neuropathy Who Had a 5-Week Interval between Onset and Surgical Intervention: A Case Report
title_full_unstemmed Recovery of Visual Function in a Patient with an Onodi Cell Mucocele Compressive Optic Neuropathy Who Had a 5-Week Interval between Onset and Surgical Intervention: A Case Report
title_sort recovery of visual function in a patient with an onodi cell mucocele compressive optic neuropathy who had a 5-week interval between onset and surgical intervention: a case report
publisher Hindawi Limited
series Journal of Ophthalmology
issn 2090-004X
2090-0058
publishDate 2010-01-01
description Purpose. To report on a patient with compressive optic neuropathy secondary to an Onodi cell mucocele, who fully recovered visual function following surgery. Method. Case report. Results. A 28-year-old male was admitted with a right visual acuity of 20/100 following treatment for an initial diagnosis of optic neuritis. Subsequent examination suggested compressive optic neuropathy, and neuroimaging confirmed the presence of an Onodi mucocele compressing the optic nerve. The patient underwent a right endonasal sphenoethmoidectomy with decompression 5 weeks after the initial onset of symptoms. Three weeks following surgery, the visual acuity was 20/20, and there was complete resolution of the visual field defect, which has remained stable at 1 year. Conclusion. Onodi cell mucocele should be included in the differential diagnosis of a young patient with compressive optic neuropathy. Surgical decompression should be considered even when symptoms have been present for over a month.
url http://dx.doi.org/10.1155/2010/483056
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