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Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
Print version ISSN 2225-5109On-line version ISSN 2227-4731
Abstract
VERGARA-DE LA ROSA, Esteban; GALVEZ-OLORTEGUI, Tomas and GALVEZ-OLORTEGUI, Jose. Decrease in visual acute, hypertellorism, and exophthalms due to bilateral piomucocele. Rev. Cuerpo Med. HNAAA [online]. 2021, vol.14, n.3, pp.390-393. Epub Nov 26, 2021. ISSN 2225-5109. http://dx.doi.org/10.35434/rcmhnaaa.2021.143.1279.
Background: The Piomucocele is the infection of a pre-existing mucocele. We present a 22-year-old man with decreased visual acuity, hypertelorism, and exophthalmos. He presented inferolateral proptosis and visual acuity 20/80 on the left side. No history of trauma, infection, polyps, or surgery. CT scan with images suggestive of bilateral mucocele with anterior orbital compression effect on the right side and posterior on the left side. The compressive effect of the ethmoidal and sphenoid pyomukocele on the left side produced compromise of the optic canal with decreased ipsilateral visual acuity. Endoscopic sinonasal surgery was performed with marsupialization and decompression, finding two well-defined anteroposterior pyomukoceles on the right side and one left pyomukocele. The evolution was favorable. This unusual presentation forces us to consider unsuspected ocular involvement, mainly in pyomukoceles that involve posterior paranasal sinuses.
Keywords : Hypertelorism; Visual acuity; Exophthalmia; mucocele.