title: Conservative treatment of vertical diplopia in a patient with silent sinus syndrome.
abstract: 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.
authors.affiliation: Department of Ophthalmology, University Clinic of Zürich, Zürich, Switzerland.
authors.forename: Hans Peter
authors.initials: HP
authors.lastname: Iseli
authors.forename: Farhad
authors.initials: F
authors.lastname: Hafezi
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Mojon
mesh_terms: 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