Successful delayed treatment of the traumatic orbital apex syndrome by nasal endoscopic decompression surgery.
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Date
2015-09
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Abstract
To report a patient with traumatic orbital apex syndrome, who fully recovered visual and extraocular
function following surgery. A 34‑year‑old male presented with visual and extraocular function disorders in
his right eye following traffic accident, who was referred to our hospital 5 weeks after accident. The patient
underwent endoscopic optic nerve and orbital apex decompression with topical and systemic application of
nerve growth factor and steroids after a failed trial of mega‑dose intravenous corticosteroids. Visual acuity
improved to 20/20 at 3 weeks after surgery, and the right eye globe moved in most directions at 1 year,
which remained stable at 3 years. Surgical decompression should be considered even when symptoms have
been present for over a month.
Description
Keywords
Endoscopic, orbital apex syndrome, surgery, trauma
Citation
Tong Yuhua, Chen Guohai, Jiang Fangzheng, Wu Wencan. Successful delayed treatment of the traumatic orbital apex syndrome by nasal endoscopic decompression surgery. Indian Journal of Ophthalmology. 2015 Sept; 63(9): 728-730.