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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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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