A Posttraumatic Dilated, Proptotic Eye Does Not Always Need a Lateral Canthotomy! A Review of Superior Orbital Fissure Syndrome for Emergency Physicians
| Autor: | Isdin Oke, Gabrielle A. Jacquet, Matthew D. Bui, Kevin M. Ryan, Crandall E. Peeler |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Facial trauma
medicine.medical_specialty Intraocular pressure Visual acuity Decompression Pupil 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Ptosis Physicians medicine Blepharoptosis Exophthalmos Humans Skull Fractures business.industry General surgery Emergency department medicine.disease eye diseases medicine.anatomical_structure Emergency Medicine Forehead Female medicine.symptom business Orbit 030217 neurology & neurosurgery |
| Zdroj: | The Journal of Emergency Medicine. 60:520-523 |
| ISSN: | 0736-4679 |
| Popis: | Background Superior orbital fissure syndrome (SOFS) is a rare constellation of findings consisting of ophthalmoplegia, ptosis, a fixed dilated pupil, forehead anesthesia, and loss of the corneal reflex. This syndrome, though rare, is most often encountered in trauma with individuals sustaining a facial fracture. Case Report We present a case of a young woman who was diagnosed with SOFS after a fall in her house, hitting her face on a nightstand. Treatment consisted of high-dose i.v. steroids followed by a taper with close follow-up in the Ophthalmology clinic. We provide a brief review of SOFS, including treatment considerations and follow-up. Why Should an Emergency Physician Be Aware of This? SOFS can be easily overlooked in an individual presenting to the emergency department after facial trauma with proptosis. However, a thorough examination of the eye, visual acuity, and intraocular pressure will focus the physician on SOFS rather than the need for immediate decompression via lateral canthotomy. This report describes a traumatic cause of SOFS, the pathophysiology and treatment, and summarizes existing literature. |
| Databáze: | OpenAIRE |
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