Tong Yuhua, Chen Guohai, Jiang Fangzheng, Wu Wencan
Department of Ophthalmology, Quzhou People's Hospital, Quzhou, Zhejiang 324000, China.
Indian J Ophthalmol. 2015 Sep;63(9):728-30. doi: 10.4103/0301-4738.171005.
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.
报告一例创伤性眶尖综合征患者，其术后视觉和眼外肌功能完全恢复。一名34岁男性在交通事故后出现右眼视觉和眼外肌功能障碍，事故发生5周后转诊至我院。在大剂量静脉注射皮质类固醇治疗无效后，患者接受了内镜下视神经和眶尖减压术，并局部和全身应用神经生长因子及类固醇。术后3周视力提高到20/20，1年时右眼眼球可向大多数方向转动，3年时保持稳定。即使症状已出现超过1个月，也应考虑手术减压。
