Emergency management of an isolated sphenoidal mucopyocele with vision loss: a case report

Isolated mucocele is very rare in sphenoid sinus. It presents with varied symptoms in the form of vision loss, proptosis, and headache. We report a case of isolated sphenoidal mucocele that presented with vision loss. Although the vision loss was not sudden, immediate evacuation of pus and marsupialization was done on an emergency basis based on the clinical and radiological findings rather than relying on the history of insidious vision loss. The patient’s vision improved immediately after surgery. This underscores the importance of emergency drainage of this condition.