| Two Cases of Orbital Apex Syndrome. |
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Tae Hyung Kim, Eun Chul Lee, Seong Wook Seo, Ji Myung Yoo |
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Department of Ophthalmology, College of Medicine, Gyeongsang National University, Korea. stramast@gshp.gsnu.ac.kr |
| 안와첨증후군 2예 |
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김태형 ( Tae Hyung Kim ) , 이은철 ( Eun Chul Lee ) , 서성욱 ( Seong Wook Seo ) , 유지명 ( Ji Myung Yoo ) |
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| Abstract |
PURPOSE
To report two cases of orbital apex syndrome: one induced by penetrating orbital injury and the other by severe optic nerve swelling associated with bacterial meningitis. METHODS: We have experienced a 40-year-old male after penetrating orbital injury who complained of loss of vision, ocular pain, ptosis, hypesthesia of forehead, and total ophthalmoplegia. The CT image of this patient showed a severe retrobulbar hemorrhage and marked enlargements of extraocular muscles. In a 62-year-old male who had a same symptom after headache and decreased mentality, a bacterial meningitis was diagnosed from CSF study and we saw a very severe swelling of the unilateral entire optic nerve and optic nerve sheath in CT. We managed these two patients with a large amount of systemic RESULTS: In 40-year-old man, there were improvements of ptosis and visual acuity from negative light perception to positive, but ophthalmoplegia was not improved. In 62-year-old man, ptosis and ophthalmo-plegia were improved after early antibiotics administration and papilledema disappeared two months after development, but visual acuity was not improved from negative light perception. |
| Key Words:
Bacterial meningitis;Orbital apex syndrome;Penetrating orbital injury |
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