Case report of unilateral silent sinus syndrome with variable enophthalmos/Degisken enoftalmus ile seyreden tek tarafli sessiz sinus sendromu olgusu

• Published in: Turk oftalmoloji gazetesi p. 125
• Main Authors: Gokmen, Onur, Cetinkaya, Altug, Yesilirmak, Nilufer, Buyuklu, Fuat
• Format: Journal Article
• Language: English
• Published: Galenos Yayinevi Tic. Ltd 01.05.2015
• Subjects: Care and treatment; Case studies; Complications and side effects; Development and progression; Eye diseases; Paranasal sinus diseases
• ISSN: 1300-0659; 2147-2661
• DOI: 10.4274/tjo.59013

A 35-year-old man applied to our clinic complaining that one of his eyes occasionally appeared smaller than the other for the last 6 months. The patient had no history of previous trauma or periorbital surgery. Ocular examination revealed 20/20 vision in both eyes and his pupillary and motility examinations were normal. The right eye showed 1 mm hypoglobus and a deep superior sulcus. Considering possible silent sinus syndrome, CT scan was ordered and the diagnosis was established by visualizing an occlusion in the right osteomeatal aperture of the maxillary sinus with typical bending of the floor towards the sinus. The patient had undergone endoscopic sinus surgery through the right nasal meatus and the purulent material was drained through maxillary antrostomy. No intra-or postoperative complications were observed, and patient complaints and symptoms resolved immediately after the surgery. (Turk J Ophthalmol 2015; 45: 125-127) Key Words: Silent sinus syndrome, hypoglobus, enophthalmos Otuz bes yasinda erkek hasta klinigimize 6 aydir ara ara gozlerinde kuculme oldugu sikayetiyle basvurdu. Hastanin daha once gecirilmis herhangi bir periorbital cerrahi veya travma oykusu yoktu. Gorme muayenesinde her iki gozde gorme keskinligi 20/20 idi, pupiller muayenesi ve goz hareketleri her yone serbestti. Sag gozde 1 mm hipoglobus ve ust kapakta derin sulkus izlenmekteydi. Sessiz sinus sendromu olasiligi dusunulerek bilgisayarli tomografi istendi ve sag taraftaki maxiller sinusun osteomeatal acikiginda tikaniklik ve tabaninda asagiya dogru cokme goruldu. Hastaya sag nazal meatustan endoskopik sinus cerrahisi ile antrostomi uygulanarak purulan materyal drene edildi. Herhangi bir komplikasyon olmayan hastanin sikayetleri cerrahi sonrasinda duzeldi. (Turk J Ophthalmol 2015; 45: 125-127) Anah tar Ke li me ler: Sessiz sinus sendromu, hypoglobus, enoftalmi