Successful delayed treatment of the traumatic orbital apex syndrome by nasal endoscopic decompression surgery
Autor: | Yuhua Tong, Guohai Chen, Fangzheng Jiang, Wencan Wu |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: | |
Zdroj: | Indian Journal of Ophthalmology, Vol 63, Iss 9, Pp 728-730 (2015) |
Druh dokumentu: | article |
ISSN: | 0301-4738 1998-3689 |
DOI: | 10.4103/0301-4738.171005 |
Popis: | 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. |
Databáze: | Directory of Open Access Journals |
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