A case of superior orbital fissure syndrome secondary to sphenoidal sinusitis

Accession number;04A0241640
Title;A case of superior orbital fissure syndrome secondary to sphenoidal sinusitis
Author; MATSUNAGA HIROMI (Haibara General Hospital, JPN) KUBOTA SHIGEYUKI (Haibara General Hospital, JPN) SATO MIHO (Hamamatsu Univ. Sch. of Med.) HOTTA YOSHIHIRO (Hamamatsu Univ. Sch. of Med.)
Journal Title;Japanese Journal of Clinical Ophthalmology
Journal Code:Z0515B
ISSN:0370-5579
VOL.58;NO.3;PAGE.305-307(2004)
Figure&Table&Reference;FIG.5, REF.6
Pub. Country;Japan
Language;Japanese
Abstract;A 45-year-old man presented with diplopia since 4 days before. His corrected visual acuity was 0.8 right and 0.9 left. No abnormal findings were present in the anterior ocular segment, optical media, or fundus. The visual field was intact. He showed incomplete mydriasis with negative Marcus Gunn pupil. He complained of bilateral retrobulbar pain. Computed tomography (CT) and magnetic resonance imaging (MRI) showed bilateral paranasal sinusitis involving the sphenoidal and ethmoidal sinus. Because of absence of optic nerve involvement, he was diagnosed with superior orbital fissure syndrome secondary to paranasal sinusitis. He was treated by drainage of bilateral sphenoidal sinus followed by systemic corticosteroid and antibiotics. The ocular findings rapidly improved. Diplopia disappeared 6 months after surgery. (author abst.)