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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2005, Number 5

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Rev Mex Oftalmol 2005; 79 (5)

Orbital apex syndrome after direct trauma. Case report.

Torres-Marín RF, Rascón-Vargas DO
Full text How to cite this article

Language: Spanish
References: 7
Page: 283-285
PDF size: 62.85 Kb.


Key words:

Orbital apex syndrome, traumatic ophthalmoplegia.

ABSTRACT

Introduction: Orbital apex syndrome is defined as a group of signs and symptoms that involve the nervous structures in the orbital apex (II, III, IV, V and VI cranial nerves). The onset is characterized by ophthalmoplegia, visual loss, afferent pupil defect and sometimes altered facial sensitivity. The etiology may be traumatic, infectious, inflammatory or vascular.
Case report: A female infant patient had a prickly trauma in right eye and lower eyelid, after that she presented an orbital apex syndrome. After the diagnosis was made she was treated with steroids presenting a satisfactory evolution.
Discussion: Early diagnosis and treatment is very important for visual outcome of this pathology.


REFERENCES

  1. Yeh S, Foroozan R. Orbital apex síndrome. Curr Opin Ophthalmol 2004; 15:490-498.

  2. 2. Brent BD, May DR. Orbital apex syndrome after penetrating orbital trauma. Ann Ophthalmol 1990; 22:267-268.

  3. 3. Zachariades N. y col. Orbital apex syndrome. Int J Oral Maxillofac Surg 1987; 16:352-354.

  4. 4. Lubbe DE, Grardnier I, Fagan JJ. An unusual orbital foreign body resulting in the orbital apex syndrome: report of a case. Arch Otolaryngol Head Neck Surg 2005; 131:526-528.

  5. 5. Srinivasan S, Fern AI, Wilson K. Orbital apex syndrome as a presenting sign of maxillary sinus carcinoma. Eye 2001; 15:343-345.

  6. 6. Balch K, Phillips PH, Newman NJ. Painless orbital apex syndrome from Mucormicosis. J Neuroophthalmol 1997; 17:178-182.

  7. 7. Hunt WE. Tolosa-Hunt Syndrome: one cause of painfull ophthalmoplegia. J Neurosurg 1976; 44:544-548.




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Rev Mex Oftalmol. 2005;79