| Title | Case series of superior orbital fissure (SOFS) and orbital apex syndrome (OAS) |
| Submitted by | Lee Vickie |
| Abstract Number | 308 |
| 19-137 | |
| Review Result | poster presentation |
| Purpose |
We present a case series of 7 patients seen at a regional orbital unit with SOFS and OAS as a result of trauma or following orbital surgery. |
| Methods |
Cases with confirmed SOFS and OAS were identified from attendances at a London joint orbital clinic (maxillofacial and ophthalmology) between 2013 and 2019. |
| Results |
SOFS and OAS was found in 3 cases post trauma, 2 cases post open reduction internal fixation surgery, 1 case post thyroid orbital decompression and 1 case post orbital intra-conal biopsy (meningioma). The most common features were diplopia (7/7), a pupil-involving orbital third nerve palsy (4/7), paraesthesia (3/7), enophthalmos (3/7), ptosis (3/7), a fourth nerve palsy (2/7), proptosis (2/7), choroidal rupture (1/7), no perception of light (1/7). Most patients had a partial or complete recovery. |
| Conclusion |
Our case series highlights the importance of meticulous assessment of patients following orbital trauma and pre and post orbital surgery, including ocular movements and pupillary reactions. Early identification of SOFS and OAS helps determine the need for further surgery or conservative measures and allows patients to receive appropriate counselling and manage their expectations. |
Additional Authors
| Last name | Initials | City / Hospital | Department |
|---|---|---|---|
| Loh | G | London / Central Middlesex Hospital | Ophthalmology |
| Balasundaram | I | London / Northwick Park Hospital | Oral and Maxillofacial Surgery |
| Aziz | A | ||
| Perry | M | London / Northwick Park Hospital | Oral and Maxillofacial Surgery |
