Orbital apex syndrome associated with fractures of the inferomedial orbital wall

Orbital apex syndrome associated with fractures of the inferomedial orbital wall

Akira SugamataDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University Hachioji Medical Center, Tokyo, JapanAbstract: Although trauma is one of the main causes of orbital apex syndrome (OAS), reports of OAS associated with orbital fractures are relatively rare. We recently treated...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autor principal: Sugamata A
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2013
Materias:
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/ce8c52350d38430f9ec86d0df79e5430
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:ce8c52350d38430f9ec86d0df79e5430
record_format dspace
spelling oai:doaj.org-article:ce8c52350d38430f9ec86d0df79e54302021-12-02T06:03:58ZOrbital apex syndrome associated with fractures of the inferomedial orbital wall1177-54671177-5483https://doaj.org/article/ce8c52350d38430f9ec86d0df79e54302013-03-01T00:00:00Zhttp://www.dovepress.com/orbital-apex-syndrome-associated-with-fractures-of-the-inferomedial-or-a12371https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Akira SugamataDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University Hachioji Medical Center, Tokyo, JapanAbstract: Although trauma is one of the main causes of orbital apex syndrome (OAS), reports of OAS associated with orbital fractures are relatively rare. We recently treated two patients who sustained severe visual impairment with damage to multiple cranial nerves (third to sixth) associated with inferomedial orbital wall fractures. In these patients, posterior movement of the globe caused neuropathy of the cranial and optic nerves by posterior globe edema and hemorrhage, or direct impact between the globe and wall, which might then have induced OAS in the cases described in this report. Steroid therapy was unsuccessful for optic neuropathy due to the delay between injury and administration. When treating patients with inferomedial orbital blowout fractures due to globe-to-wall contact, it is necessary to routinely assess and monitor visual acuity since there may be a delay between the injury and OAS onset.Keywords: orbital apex syndrome, orbital fracture, blowout fracture, optic nerve, globe-to-wall contact mechanismSugamata ADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 475-478 (2013)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Sugamata A
Orbital apex syndrome associated with fractures of the inferomedial orbital wall
description Akira SugamataDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University Hachioji Medical Center, Tokyo, JapanAbstract: Although trauma is one of the main causes of orbital apex syndrome (OAS), reports of OAS associated with orbital fractures are relatively rare. We recently treated two patients who sustained severe visual impairment with damage to multiple cranial nerves (third to sixth) associated with inferomedial orbital wall fractures. In these patients, posterior movement of the globe caused neuropathy of the cranial and optic nerves by posterior globe edema and hemorrhage, or direct impact between the globe and wall, which might then have induced OAS in the cases described in this report. Steroid therapy was unsuccessful for optic neuropathy due to the delay between injury and administration. When treating patients with inferomedial orbital blowout fractures due to globe-to-wall contact, it is necessary to routinely assess and monitor visual acuity since there may be a delay between the injury and OAS onset.Keywords: orbital apex syndrome, orbital fracture, blowout fracture, optic nerve, globe-to-wall contact mechanism
format article
author Sugamata A
author_facet Sugamata A
author_sort Sugamata A
title Orbital apex syndrome associated with fractures of the inferomedial orbital wall
title_short Orbital apex syndrome associated with fractures of the inferomedial orbital wall
title_full Orbital apex syndrome associated with fractures of the inferomedial orbital wall
title_fullStr Orbital apex syndrome associated with fractures of the inferomedial orbital wall
title_full_unstemmed Orbital apex syndrome associated with fractures of the inferomedial orbital wall
title_sort orbital apex syndrome associated with fractures of the inferomedial orbital wall
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/ce8c52350d38430f9ec86d0df79e5430
work_keys_str_mv AT sugamataa orbitalapexsyndromeassociatedwithfracturesoftheinferomedialorbitalwall
_version_ 1718400077723074560

Ejemplares similares