Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/64173
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Type: Journal article
Title: Recovery of visual function in a patient with an Onodi cell mucocele compressive optic neuropathy who had a 5-week interval between onset and surgical intervention: a case report
Author: Wu, W.
Sun, M.
Cannon, P.
Jianbo, S.
Selva-Nayagam, D.
Citation: Journal of Ophthalmology, 2010; online:1-3
Publisher: Hindawi Publishing Corporation
Issue Date: 2010
ISSN: 2090-004X
2090-0058
Statement of
Responsibility: 
Wencan Wu, Michelle T. Sun, Paul S. Cannon, Shi Jianbo, and Dinesh Selva
Abstract: Purpose. To report on a patient with compressive optic neuropathy secondary to an Onodi cell mucocele, who fully recovered visual function following surgery. Method. Case report. Results. A 28-year-old male was admitted with a right visual acuity of 20/100 following treatment for an initial diagnosis of optic neuritis. Subsequent examination suggested compressive optic neuropathy, and neuroimaging confirmed the presence of an Onodi mucocele compressing the optic nerve. The patient underwent a right endonasal sphenoethmoidectomy with decompression 5 weeks after the initial onset of symptoms. Three weeks following surgery, the visual acuity was 20/20, and there was complete resolution of the visual field defect, which has remained stable at 1 year. Conclusion. Onodi cell mucocele should be included in the differential diagnosis of a young patient with compressive optic neuropathy. Surgical decompression should be considered even when symptoms have been present for over a month.
Rights: Copyright © 2010 Wencan Wu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
RMID: 0020105229
DOI: 10.1155/2010/483056
Appears in Collections:Opthalmology & Visual Sciences publications

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