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Year : 2015  |  Volume : 63  |  Issue : 9  |  Page : 728-730

Successful delayed treatment of the traumatic orbital apex syndrome by nasal endoscopic decompression surgery

1 Department of Ophthalmology, Quzhou People's Hospital, Quzhou, Zhejiang 324000, China
2 Department of Orbital and Oculoplastic Surgery, Eye Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325027, China

Correspondence Address:
Dr. Guohai Chen
Department of Ophthalmology, Quzhou People's Hospital, Quzhou 324000, Zhejiang
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.171005

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To report a patient with traumatic orbital apex syndrome, who fully recovered visual and extraocular function following surgery. A 34-year-old male presented with visual and extraocular function disorders in his right eye following traffic accident, who was referred to our hospital 5 weeks after accident. The patient underwent endoscopic optic nerve and orbital apex decompression with topical and systemic application of nerve growth factor and steroids after a failed trial of mega-dose intravenous corticosteroids. Visual acuity improved to 20/20 at 3 weeks after surgery, and the right eye globe moved in most directions at 1 year, which remained stable at 3 years. Surgical decompression should be considered even when symptoms have been present for over a month.

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