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Double vision, visual loss, and an enhancing orbital apex
R M Burde1, J W Gittinger, J L Keltner
1Department of Ophthalmology, Albert Einstein College of Medicine, Montefiore Hospital and Medical Center, Bronx, New York.
Survey of Ophthalmology
|July 1, 1988
Summary
A 70-year-old man experienced vision loss and double vision due to orbital apex inflammation. Prompt corticosteroid treatment led to a full recovery, highlighting its effectiveness in managing this condition.
Area of Science:
- Ophthalmology
- Neurology
- Radiology
Background:
- Orbital apex inflammation can cause significant visual disturbances.
- Early diagnosis and intervention are crucial for preserving vision.
Observation:
- A 70-year-old male presented with retrobulbar discomfort, diplopia, and left abduction deficit.
- Sudden decrease in left eye vision occurred three days later.
- CT scan showed enhancement of left orbital apex structures.
Findings:
- The patient's symptoms suggested an inflammatory process affecting the orbital apex.
- Differential diagnosis, testing, and treatment strategies were discussed.
- Corticosteroid therapy resulted in complete resolution of symptoms.
Implications:
- Corticosteroids are an effective treatment for orbital apex inflammation.
- Prompt management can prevent permanent vision loss.
- This case underscores the importance of timely diagnosis in orbital apex syndromes.