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Updated: Jun 12, 2026
Optic Nerve Transection: A Model of Adult Neuron Apoptosis in the Central Nervous System
Published on: May 12, 2011
The trans-septal approach to the orbital apex via the contralateral exenterated orbit
Ayelet Priel1, Sang-Rog Oh, Bobby S Korn
1Division of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, Shiley Eye Center, University of California, San Diego, CA 92093-0946, USA.
Purpose:
To report a unique approach to the orbital apex through the contralateral orbit.
Methods:
A 65-year-old male presented with right compressive optic neuropathy due to nasopharyngeal carcinoma spread. Clinical evaluation and imaging showed a right orbital apex mass. Surgery included apical orbital tumor debulking, and orbital decompression performed via the contralateral exenterated side. Postoperatively, symptoms were relieved.
Conclusions:
Orbitotomy via the contralateral exenterated orbit should be considered as a surgical option in these unique patients requiring direct access to the orbital apex.
