Orbital Apex Syndrome after Uneventful Phacoemulsification.

Yoo, Jae Ho; Nam, Ki Yup; Lee, Seung Uk; Lee, Sang Joon

doi:2016.57.12.1994

J Korean Ophthalmol Soc > Volume 57(12); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(12):1994-1997.
DOI: https://doi.org/10.3341/jkos.2016.57.12.1994 Published online December 15, 2016.

Orbital Apex Syndrome after Uneventful Phacoemulsification.

Jae Ho Yoo, Ki Yup Nam, Seung Uk Lee, Sang Joon Lee

¹Department of Ophthalmology, Gospel Hospital, Kosin University College of Medicine, Busan, Korea. hhiatus@gmail.com
²Institute for Medicine, Kosin University College of Medicine, Busan, Korea.

백내장수술 후 발생한 안와첨증후군

유재호¹⋅남기엽¹⋅이승욱¹⋅이상준^1,2

고신대학교 의과대학 복음병원 안과학교실¹, 고신대학교 의과대학 의과학연구소²

Abstract

PURPOSE
We report a case of orbital apex syndrome associated with ocular ischemic syndrome after unenventful cataract surgery. CASE SUMMARY: A 74-year-old female came to our clinic with vision loss, ptosis, total ophthalmoplegia and ocular pain in the left eye after cataract surgery. On radiologic examination, diffuse hypertrophy of the extraocular muscles and a crowded orbital apex were observed. Additionally, the arm to retina and choroidal filling times were delayed on fluorescence angiography. Based on these findings, the patient was diagnosed with ocular ischemia complicated by orbital apex syndrome. After prompt pulse steroid therapy, improvement in extraocular muscle and pupil movement, ptosis and proptosis were observed; however, visual acuity failed to return to baseline. CONCLUSIONS: We report a rare case of orbital apex syndrome associated with ocular ischemic syndrome after cataract surgery, indicating the orbital apex syndrome may occur in healthy patients after uneventful cataract surgery.

Key Words: Ocular ischemic syndrome;Orbital apex syndrome;Idiopathic orbital inflammatory disease