A Case of Superior Orbital Fissure Syndrome Induced by Penetrating Orbital Injury.

Han, Kyeol; Ahn, Min

doi:2015.56.4.592

J Korean Ophthalmol Soc > Volume 56(4); 2015 > Article

Case Report

Journal of the Korean Ophthalmological Society 2015;56(4):592-597.
DOI: https://doi.org/10.3341/jkos.2015.56.4.592 Published online April 15, 2015.

A Case of Superior Orbital Fissure Syndrome Induced by Penetrating Orbital Injury.

Kyeol Han, Min Ahn

¹Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea. ahnmin@jbnu.ac.kr
²Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.

안와관통상으로 인해 발생한 상안와열증후군 경과관찰 1예

한 결¹⋅안 민^1,2

전북대학교 의학전문대학원 안과학교실¹, 전북대학교 임상의학연구소-전북대학교병원 의생명연구원²

Abstract

PURPOSE
We report a case of superior orbital fissure syndrome induced by penetrating orbital injury caused by a steel wire and analyzed the clinical outcomes. CASE SUMMARY: A 49-year-old female visited our clinic after a penetrating orbital injury through the right inferolateral conjunctiva caused by a steel wire. The best corrected visual acuity of the right eye was 0.8 and a fixed dilated pupil was detected. Partial ptosis and ophthalmoplegia were observed in the right eye. The computed tomography image revealed no sign of orbital wall fracture, retrobulbar hemorrhage or foreign body. Slightly increased signal intensity was observed on the magnetic resonance image but other abnormal findings of the extraocular muscle and optic nerve were not detected. Under the impression of superior orbital fissure syndrome, systemic steroid was administered orally. After 1 month, ptosis and ophthalmoplegia were partially improved. After 3 months, the pupil size and response were normalized. CONCLUSIONS: The oral steroid treatment was given to reduce the edema without orbital wall fracture after the penetrating orbital injury, which caused the superior orbital fissure syndrome. The symptom was relieved 3 months after the injury.

Key Words: Penetrating orbital injury;Superior orbital fissure syndrome