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Silent sinus syndrome causing cyclovertical diplopia masquerading as superior oblique paresis in the fellow eye
Cheng Zhang1, Pittaya Phamonvaechavan, Alex Christoff
1The Krieger Children's Eye Center, Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287-9028, USA. czhang1@jhmi.edu
Abstract:
Silent sinus syndrome is an insidious maxillary sinus inflammatory disease causing a lowering, thinning, or even absorption of the orbital floor. Patients usually present with progressive enophthalmos and hypoglobus. We report a 41-year-old man with silent sinus syndrome who presented with cyclovertical diplopia masquerading as superior oblique muscle paresis in the fellow eye. Inferior oblique myectomy in the fellow eye resulted in excellent alignment.
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