Blinding Orbital Apex Syndrome due to Onodi Cell Mucocele.

Case Rep Ophthalmol Med

Oculoplastic and Orbital Institute, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, 64239 Tel Aviv, Israel.

Published: June 2014

The onodi cell is a posterior ethmoidal cell that is pneumatized laterally or superiorly to the sphenoid sinus with close proximity to the optic nerve. A mucocele, a benign, expansile, cyst-like lesion of the paranasal sinuses, may uncommonly involve the onodi cell causing compression of the optic nerve and nearby structures. In this paper, we report a rare case of onodi cell mucocele causing orbital apex syndrome, with prompt recovery after endoscopic removal. However, optic neuropathy did not improve and the patient remained blind.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4052485PMC
http://dx.doi.org/10.1155/2014/453789DOI Listing

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