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The superior orbital fissure syndrome is characterized by external ophthalmoplegia, ptosis, exophthalmos, fixed, dilated pupil, and anesthesia of the upper eyelid and forehead. This syndrome is a complex of impaired function of the cranial nerves that enter the orbit through superior orbital fissure. Three major causal factors are tumors, inflammation and trauma. We present a patient who had signs and symptoms of superior orbital fissure syndrome after traumatic zygomaticomaxillary fractures. After surgical reduction of fractured zygomaticomaxillary bone segment and conservative management, complete functional recovery of the eye was noted.
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