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Ophthalmic considerations in fronto-ethmoidal mucocoeles

Published online by Cambridge University Press:  29 June 2007

Valerie J. Lund  and
Muriel E. Rolfe
Valerie J. Lund*
Affiliation:
Senior Lecturer and Honorary Consultant, Professorial Unit, Institute of Laryngology and Otology, Gray's Inn Road, London WC1X 8DA
Muriel E. Rolfe
Affiliation:
Associate Specialist, Moorfields Eye Hospital, City Road, London EC1V 2PD
*
Valerie J. Lund, M.S., F.R.C.S., Senior Lecturer, Institute of Laryngology and Otology, 330/332 Gray's Inn Road, London WC1X 8EE
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Abstract

The pre-and post-operative ophthalmic consequences of fronto-ethmoidal mucocoeles are considered in a prospective series of 22 patients. Proptosis, lateral and inferior displacement, diplopia and restriction of ocular mobility were the commonest presenting problems. Following external fronto-ethmoidectomy, proptosis and displacement resolved completely in the majority of patients. One third of patients experienced a transient exacerbation of diplopia but this resolved in most patients. Persistent diplopia occurred in seven patients and required medical correction in four and surgery in one. This was due in all cases to underaction of the superior oblique muscle and probably to backward displacement of the trochlea which may be avoided by careful surgical re-attachment.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 7 , July 1989 , pp. 667 - 669
Copyright
Copyright © JLO (1984) Limited 1989

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