Related Experiment Video
Updated: May 4, 2026
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Orbital Compartment Syndrome Following Frontoethmoidal Mucopyocele: A Case Report
Pablo González-De-Los-Mártires1,2, Gonzalo Guerrero-Pérez1,2, Iñigo Salmerón-Garmendia2
1Ophthalmology Department, Fundación Hospital de Calahorra, Calahorra, La Rioja, Spain.
Background:
The objective of this study is to describe a rare case of orbital compartment syndrome (OCS) following complicated frontoethmoidal mucopyoceles.
Case Presentation:
This report involves a 72-year-old woman with prior functional endoscopic sinus surgery who presented with acute painful proptosis, tense eyelid swelling, and ophthalmoplegia in her left eye. Imaging revealed infected mucoceles (mucopyoceles) in the left frontal and ethmoidal sinuses with intraorbital extension. Based on clinical and radiological findings, OCS was diagnosed. Emergency management included immediate lateral canthotomy and cantholysis, followed by urgent endonasal drainage of the mucopurulent material. The patient made a full recovery, with only transient eyelid numbness.
Conclusion:
This case underscores the importance of prompt recognition and timely coordinated intervention in OCS to prevent irreversible visual loss and intracranial extension.
