Successful delayed treatment of the traumatic orbital apex syndrome by nasal endoscopic decompression surgery

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 acc...

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Bibliographic Details
Published inIndian journal of ophthalmology Vol. 63; no. 9; pp. 728 - 730
Main Authors Tong, Yuhua, Chen, Guohai, Jiang, Fangzheng, Wu, Wencan
Format Journal Article
LanguageEnglish
Published India Wolters Kluwer - Medknow Publications 01.09.2015
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects
Adult
Care and treatment
Coma
Conflicts of interest
Decompression, Surgical - methods
Endoscopic
Endoscopy
Eye
Eye diseases
Eye Injuries - complications
Eye Injuries - diagnosis
Eye movements
Follow-Up Studies
Fractures
Hospitals
Humans
Male
Natural Orifice Endoscopic Surgery - methods
Neurosurgery
Nose
Ophthalmology Practice
Optic nerve
Optic Nerve Diseases - diagnosis
Optic Nerve Diseases - etiology
Optic Nerve Diseases - surgery
Orbit - injuries
Orbit - surgery
orbital apex syndrome
Patients
Surgery
Syndrome
Time Factors
Tomography, X-Ray Computed
Trauma
Visual Acuity
Visual Fields
India
trauma
orbital apex syndrome
Endoscopic
surgery
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Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0301-4738
1998-3689
DOI:10.4103/0301-4738.171005