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Updated: Jul 7, 2026

Nasolacrimal Lavage as a Treatment for Ocular Surface Toxic Soup Syndrome
Published on: April 25, 2025
[Sinus syndrome, an uncommon cause of enophthalmos]
B F Sánchez-Dalmau1, L Pascual, X Lao
1Institut Clínic d'Oftalmologia, Hospital Clinic i Provincial, Barcelona, España. 24528bsd@comb.es
Clinical Case:
A 29-year-old woman presented with a subjective sensation of ocular asymmetry from several months beforehand. Ophthalmological exam showed 3,5 mm right enophthalmos and light hypoglobus. CT (Computerized Tomography) scan showed a collapsed maxillar sinus, and a thinned inferior orbital wall. The diagnosis of silent sinus syndrome was made. An endoscopic maxillary antrostomy with uncinectomy was made with an excellent surgical outcome.
Discussion:
Clinical features of silent sinus syndrome are described, including diagnosis, differential diagnosis and treatment.
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