{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T10:48:35Z","timestamp":1777978115078,"version":"3.51.4"},"reference-count":15,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 43-year-old male scuba diver presented with an acute history of painful unilateral visual loss after scuba diving. He had right-sided retrobulbar pain and headache. He was known to have sinusitis and had transient visual loss in two previous episodes after scuba diving. His visual acuity was hand motions and 20\/20 in the right and left eye, respectively. There was no proptosis. He had a right relative afferent pupillary defect. Colour vision was normal in the left eye and absent in the right eye. Fundal examination revealed healthy discs and macula bilaterally. He was assessed as a right optic neuropathy, possibly secondary to compression. An MRI of the brain revealed a large sphenoidal mucocele extending into the right optic foramen. He was treated with oral steroids, antibiotics and nasal decongestants. He underwent endoscopic intranasal sphenoidectomy and marsupialisation with return of his visual acuity to 20\/25 in that eye.<\/jats:p>","DOI":"10.1136\/bcr-2013-010309","type":"journal-article","created":{"date-parts":[[2013,8,20]],"date-time":"2013-08-20T10:45:28Z","timestamp":1376995528000},"page":"bcr2013010309","source":"Crossref","is-referenced-by-count":11,"title":["Sphenoidal sinus mucocele presenting with acute visual loss in a scuba diver"],"prefix":"10.1136","volume":"2013","author":[{"given":"Lizette","family":"Mowatt","sequence":"first","affiliation":[{"name":"University of the West Indies, Kingston, Jamaica"},{"name":"Department of Surgery, University Hospital of the West Indies, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tecah","family":"Foster","sequence":"additional","affiliation":[{"name":"University of the West Indies, Kingston, Jamaica"},{"name":"Department of Surgery, University Hospital of the West Indies, Kingston, Jamaica"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,8,20]]},"reference":[{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.1","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s10384-004-0174-8","article-title":"Clinical manifestations and management of orbital mucoceles: the role of ophthalmologists","volume":"2013","author":"Wang","year":"2005","journal-title":"Jpn J Ophthalmol"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.2","first-page":"63","article-title":"Clinicopathologic, ophthalmic, visual profiles and management of mucoceles in blacks","volume":"2013","author":"Ajaiyeoba","year":"2006","journal-title":"J Natl Med Assoc"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.3","first-page":"181","article-title":"Mucoceles of the sphenoidal sinus: a report of four cases and review of the literature","volume":"2013","author":"Darouassi","year":"2005","journal-title":"B-ENT"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.4","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1017\/S0022215109991551","article-title":"Sphenoid sinus mucocele: 10 cases and literature review","volume":"2013","author":"Soon","year":"2010","journal-title":"J Laryngol Otol"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.5","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1080\/02688699844376","article-title":"Neurosurgical aspects of sphenoid sinus mucocoele","volume":"2013","author":"Iqbal","year":"1998","journal-title":"Br J Neurosurg"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.6","doi-asserted-by":"crossref","first-page":"147","DOI":"10.3109\/01658108909010468","article-title":"Optic nerve involvement in posterior paranasal sinus disease","volume":"2013","author":"Shimo-Oku","year":"1989","journal-title":"Neurophthalmology"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.7","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1136\/bjo.82.1.99","article-title":"Rhinogenic optic neuropathy causes bilateral loss of light perception","volume":"2013","author":"Hiratsuka","year":"1998","journal-title":"Br J Ophthalmol"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.8","first-page":"987","article-title":"Mucocele of the sphenoid sinus paediatric","volume":"2013","author":"Haloi","year":"2006","journal-title":"Radiology"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.9","doi-asserted-by":"crossref","unstructured":"Bahgat M Bahgat Y Bahgat A . Sphenoid sinus mucocele. BMJ Case Rep. Published Online: 22 Oct 2012. doi:10.1136\/bcr-2012-007130","DOI":"10.1136\/bcr-2012-007130"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.10","doi-asserted-by":"crossref","first-page":"272","DOI":"10.2500\/ajra.2011.25.3624","article-title":"Paranasal sinus mucoceles with ophthalmologic manifestations: a 17-year review of 96 cases","volume":"2013","author":"Kim","year":"2011","journal-title":"Am J Rhinol Allergy"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.11","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1097\/SCS.0b013e31818437d6","article-title":"Isolated sphenoid sinus mucocele: etiology and management","volume":"2013","author":"Giovannetti","year":"2008","journal-title":"J Craniofac Surg"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.12","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1001\/archotol.1992.01880020034012","article-title":"Mucocele of ethmoid and sphenoid sinus","volume":"2013","author":"Moriyama","year":"1992","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.13","doi-asserted-by":"crossref","first-page":"337","DOI":"10.2500\/105065897781286025","article-title":"Effect of sinus surgery on visual disturbance caused by spheno-ethmoid mucoceles","volume":"2013","author":"Yumoto","year":"1997","journal-title":"Am J Rhinol"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.14","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/S0008-4182(05)80015-8","article-title":"Bilateral consecutive blindness due to sphenoid sinus mucocele with unilateral partial recovery","volume":"2013","author":"Levy","year":"2005","journal-title":"Can J Ophthalmol"},{"key":"2025082802514136000_2013.aug20_1.bcr2013010309.15","first-page":"216","article-title":"A sphenoid sinus mucocele simulating as retro bulbar optic neuritis","volume":"2013","author":"Gupta","year":"2012","journal-title":"Indian J Ophthalmol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-010309","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:51:52Z","timestamp":1756374712000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-010309"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,20]]},"references-count":15,"alternative-id":["10.1136\/bcr-2013-010309"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-010309","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,8,20]]}}}