title: Acute diplopia as the presenting sign of silent sinus syndrome.
abstract: Silent sinus syndrome is a rare acquired condition that typically presents as enophthalmos and hypoglobus due to atelectasis of the maxillary sinus. The chronic negative pressure in the sinus slowly retracts the orbital floor, altering orbital anatomy and affecting the function of orbital contents. The authors present the first case of acute vertical diplopia as the presenting symptom of silent sinus syndrome.
authors.affiliation: *Department of Ophthalmology, Maimonides Medical Center, Brooklyn, New York; †Department of Ophthalmology, Mt. Sinai School of Medicine; ‡Corinthian Diagnostic Radiology, New York Presbyterian Hospital, New York, New York; §Linda Morgante Multiple Sclerosis Center, Neuro-Ophthalmology, Maimonides Medical Center, Brooklyn, New York; ‖SUNY School of Optometry, New York, New York; and ¶Department of Ophthalmology, Maimonides Medical Center, Brooklyn, New York, U.S.A.
authors.forename: Norman
authors.initials: N
authors.lastname: Saffra
authors.forename: Aleksandr
authors.initials: A
authors.lastname: Rakhamimov
authors.forename: Leslie A
authors.initials: LA
authors.lastname: Saint-Louis
authors.forename: Robyn J
authors.initials: RJ
authors.lastname: Wolintz
mesh_terms: D000208:Acute Disease; D000368:Aged; D004172:Diplopia / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000000981:diagnostic imaging*; D009915:Orbit / Q000000981:diagnostic imaging; D010254:Paranasal Sinus Diseases / Q000000981:diagnostic imaging*; D013577:Syndrome; D014057:Tomography, X-Ray Computed