Delayed Orbital Apex Syndrome in the Post-Reconstructed Orbit. Issue 5 (July 2020)

• Record Type: Journal Article
• Authors: Zhao, Yiping; Li, Zhengkang; Deng, Yuan
• Is Part Of: Journal of craniofacial surgery. Volume 31:Issue 5(2020)
• Publication Date: 2020-07
• Subjects: Orbital apex syndrome -- orbital emphysema -- orbital reconstruction -- trauma; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000006490
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: Delayed orbital apex syndrome (OAS) is rare during orbital blowout fracture reconstruction. A 30-year-old woman fractured the right orbital floor in a fall and undergone repairing operation 2 weeks later. After severe sneezing on postoperative day 10, she gradually arose vision loss, ophthalmoplegia, ptosis with a dilated and fixed pupil within few hours, then consulted our department and was diagnosed as OAS. Computed tomography scan showed displaced implant and retrobulbar emphysema resulting in a constellation of compression to orbital apex. Therefore, an exploratory operation was engaged to reposition the implant and reduce the emphysema concurrent with mega-dose steroids. The patient regained vision immediately and resolved all symptoms at the 6 months follow-up.