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Ophthalmic Images
May 11, 2017

Maxillary Sinus Wall Thickening in Silent Sinus Syndrome

Author Affiliations
  • 1Department of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, British Columbia, Canada
JAMA Ophthalmol. 2017;135(5):e170637. doi:10.1001/jamaophthalmol.2017.0637

A 49-year-old woman presented with 6 months of progressive left superior sulcus hollowing unassociated with diplopia, trauma, sinus disease, or use of prostaglandin agonist drops. Examination revealed left superior sulcus deepening with 1.5-mm inferior displacement and 1-mm enophthalmos of the left eye (Figure A). A computed tomographic scan revealed left maxillary sinus opacification, obstruction of the ostium, orbital floor downward bowing, and thickening and calcific excrescences of the maxillary sinus walls and roof (Figure B).

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