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Three-Dimensional Reconstruction of Orbital Fractures
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Delayed Orbital Apex Syndrome in the Post-Reconstructed Orbit
Yiping Zhao1, Zhengkang Li1, Yuan Deng1,2
1Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine.
The Journal of Craniofacial Surgery
|April 21, 2020
Summary
Delayed orbital apex syndrome (OAS) is a rare complication after orbital fracture repair. Prompt surgical intervention and steroids can effectively treat this vision-threatening condition.
Area of Science:
- Ophthalmology
- Neurosurgery
- Plastic Surgery
Background:
- Orbital blowout fractures often require surgical reconstruction.
- Delayed complications like orbital apex syndrome are infrequent but serious.
Observation:
- A 30-year-old woman developed vision loss, ophthalmoplegia, and ptosis 10 days post-repair of an orbital floor fracture.
- Symptoms arose after sneezing, leading to a diagnosis of orbital apex syndrome.
Findings:
- CT scan revealed a displaced orbital implant and retrobulbar emphysema causing orbital apex compression.
- Surgical repositioning of the implant and management of emphysema, along with high-dose steroids, were performed.
Implications:
- This case highlights the importance of recognizing delayed OAS after orbital fracture surgery.
- Timely surgical intervention and medical management can lead to favorable visual recovery.
