Conservative treatment of vertical diplopia in a patient with silent sinus syndrome.
Silent sinus syndrome is a rare disease of the maxillary sinus characterized by bony absorption processes leading to progressive sinus wall thinning with consecutive enophthalmos and hypoglobus. It represents a benign cause of acquired enophthalmos and is often accompanied by painless vertical diplopia, the latter treated surgically in all cases published to date. We report a 56-year-old patient with silent sinus syndrome in whom vertical diplopia was treated with prisms showing that conservative treatment alone may, in mild cases, be an effective alternative to reconstructive surgery.
Iseli
Hans Peter
HP
Department of Ophthalmology, University Clinic of Zürich, Zürich, Switzerland.
Hafezi
Farhad
F
Mojon
Daniel S
DS
D004172:Diplopia / Q000150:complications* / Q000628:therapy*; D005139:Eyeglasses; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000000981:diagnostic imaging; D008875:Middle Aged; D009915:Orbit / Q000000981:diagnostic imaging; D010254:Paranasal Sinus Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D013577:Syndrome; D014057:Tomography, X-Ray Computed