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December 1973

Ophthalmological and Radiological Findings in Sphenoidal Mucoceles

Author Affiliations

From the University of Illinois, Abraham Lincoln School of Medicine, departments of ophthalmology (Dr. Putterman) and radiology (Dr. Valvassori), Illinois Eye and Ear Infirmary, Chicago.

Arch Ophthalmol. 1973;90(6):456-459. doi:10.1001/archopht.1973.01000050456010

The ophthalmological and radiological findings in eight previously unreported sphenoidal mucoceles in various stages of development are correlated.

Several deductions were made by studying this series of sphenoidal mucoceles. Optic atrophy occurred when the mucocele encroached on the optic canal. Exophthalmos occurred only when the mucocele entered the ethmoidal sinus and displaced the medial orbital wall. The lack of eye findings when the chiasmatic sulcus was elevated and the superior orbital fissure was invaded was probably due to the lack of sufficient compression of the optic chiasm and third, fourth, and sixth cranial nerves by the mucocele.