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Diplopia due to maxillary sinus mucocoele.

Hiten G Sheth1, Ravi Goel

  • 1Department of Ophthalmology, Queen Mary's Hospital, Sidcup, Kent, UK. drhitensheth@yahoo.co.uk

International Ophthalmology
|May 9, 2007
PubMed
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Maxillary mucocoeles, or sinus cysts, can invade the orbit, causing vision problems and swelling. Early diagnosis and management are crucial for preserving vision and orbital function.

Area of Science:

  • Ophthalmology
  • Otorhinolaryngology
  • Surgical Pathology

Background:

  • Mucocoeles are benign, cyst-like lesions arising from paranasal sinuses.
  • They can expand and erode adjacent bony structures, including the orbit.

Observation:

  • An 81-year-old male presented with a 2-week history of left lower eyelid and malar swelling.
  • Symptoms included diplopia (double vision) in primary gaze and downgaze.

Findings:

  • The patient's presentation was attributed to a maxillary mucocele with orbital invasion.
  • Imaging and clinical findings confirmed the diagnosis and extent of the lesion.

Implications:

  • Maxillary mucocoeles can present insidiously with diverse ophthalmic symptoms.

Related Experiment Videos

  • Consider mucocoeles in the differential diagnosis for orbital masses and proptosis.
  • Surgical intervention, such as the Caldwell-Luc procedure, may be necessary for management.