Clinical Rhinology

Register      Login

VOLUME 4 , ISSUE 1 ( January-April, 2011 ) > List of Articles


Varied Ophthalmic Presentations in Sphenoid Sinus Lesions

RG Aiyer, Rahul Gupta, Prarthna S Dhameja, Virag Damania

Keywords : Endoscopic sinus surgery,Paranasal sinus,Mucocele,Sphenoid sinus,Computed tomography,Magnetic resonance imaging

Citation Information : Aiyer R, Gupta R, Dhameja PS, Damania V. Varied Ophthalmic Presentations in Sphenoid Sinus Lesions. Clin Rhinol An Int J 2011; 4 (1):15-20.

DOI: 10.5005/jp-journals-10013-1064

Published Online: 01-04-2011

Copyright Statement:  Copyright © 2011; The Author(s).


Sphenoid sinus lesions can present with a multitude of symptoms/signs including ophthalmic disturbances.

We describe a total of five patients, of which two had mucoceles and rest three had fungal infection. Ophthalmic symptoms/signs were the ones we were really interested in. We also present one case which had isolated sphenoid fungal sinus. We also give details of their presentation, investigations and treatment. Possible ocular manifestations of mucoceles and the diagnostic imaging techniques used are discussed. The treatment of mucoceles is reviewed. It is stressed that a team approach involving the ophthalmologist, otolaryngologist and radiologist is essential for accurate diagnosis and management.

PDF Share
  1. Visual dysfunction: Abnormal sign of benign sphenoid-ethmoidal lesions. J Laryng Otol 1990;104:217-21.
  2. Peter John Unusual presentations of isolated sphenoid fungal sinusitis. The J Laryng Otol May 2000;114:385-88.
  3. An obscure etiology for headache: Sphenoid sinus disease. Yonsei Med J 1988;29(3): 209-18.
  4. Mucocele like lesions of the sphenoid sinus with hypointense focus on T2 weighted MRI. Neuroradiology 2001;43:1108-11.
  5. Sphenoid sinus mucocele causing third nerve paralysis: CT and MR findings. Dentomaxillofacial Rad 2004;33:342-44.
  6. Sphenoid sinusitis: A review of 30 cases. N Engl J Med 1983;10:1149-54.
  7. Cranial neuropathies in sinus disease. Laryngoscope 1977;87:357-63.
  8. Isolated sphenoid fungal sinusitis in a renal transplant recipient presenting with bilateral abducens nerve palsy. Transplant Int 2007;20:640-42.
  9. Isolated sphenoid lesions: Diagnosis and management. Otolaryngol Head Neck Surg 1999;120:730-36.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.