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KMID : 0360220150560040592
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Journal of the Korean Ophthalmological Society
2015 Volume.56 No. 4 p.592 ~ p.597
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A Case of Superior Orbital Fissure Syndrome Induced by Penetrating Orbital Injury
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Han Kyeol
Ahn Min
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Abstract
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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.
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KEYWORD
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Penetrating orbital injury, Superior orbital fissure syndrome
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