Recovery of Visual Function in a Patient with an Onodi Cell Mucocele Compressive Optic Neuropathy Who Had a 5-Week Interval between Onset and Surgical Intervention: A Case Report

Recovery of Visual Function in a Patient with an Onodi Cell Mucocele Compressive Optic Neuropathy Who Had a 5-Week Interval between Onset and Surgical Intervention: A Case Report

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Purpose.To report on a patient with compressive optic neuropathy secondary to an Onodi hand pulse set cell mucocele, who fully recovered visual function following surgery.Method.Case report.

Results.A 28-year-old male was admitted with a right visual acuity of 20/100 following treatment for an initial diagnosis of optic neuritis.Subsequent examination suggested compressive optic neuropathy, and neuroimaging confirmed the presence of an Onodi mucocele compressing the optic nerve.The patient underwent a right endonasal sphenoethmoidectomy with decompression 5 weeks after the initial onset of symptoms.

Three weeks following surgery, the MENS PANTS visual acuity was 20/20, and there was complete resolution of the visual field defect, which has remained stable at 1 year.Conclusion.Onodi cell mucocele should be included in the differential diagnosis of a young patient with compressive optic neuropathy.Surgical decompression should be considered even when symptoms have been present for over a month.