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

Autor: Yuhua Tong, Guohai Chen, Fangzheng Jiang, Wencan Wu
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.
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