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A Fronto-ethmoidal Sinus Mucocele presenting with optic disc edema.

¹Department of Ophthalmology, Beijing Aerospace General Hospital, Fengtai District, Beijing, China.

Radiology Case Reports

|September 10, 2021

Summary

Fronto-ethmoidal sinus mucoceles can cause optic disc edema without vision loss. Early diagnosis via ophthalmological exams and imaging is crucial for timely treatment and preventing misdiagnosis.

Keywords:

Epiphora Mucocele Optic disc edema Paranasal sinus Periorbital pain

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Area of Science:

Ophthalmology
Otorhinolaryngology
Radiology

Background:

Fronto-ethmoidal sinus mucoceles are benign cysts that can expand and erode into surrounding structures.
Orbital invasion by mucoceles typically causes proptosis or diplopia, with optic nerve impairment being rare.

Observation:

A case of fronto-ethmoidal sinus mucoceles presenting with unilateral optic disc edema was observed.
The patient exhibited no subjective visual disturbances despite the optic disc edema.

Findings:

Diagnosis was established through a combination of ophthalmological examinations, radiographic imaging (CT/MRI), and histopathological analysis.
The study highlights that optic disc edema can be an isolated ocular manifestation of fronto-ethmoidal sinus mucoceles.

Implications:

Early detection of fronto-ethmoidal sinus mucoceles with optic disc edema is critical for preventing potential vision loss.
Ophthalmologists must be aware of these rare ocular presentations to ensure accurate diagnosis and appropriate management.
Integrated diagnostic approaches involving ophthalmology and radiology are essential for effective patient care.