Chaha Kator, Chinda Dominic, Waziri Mustapha Abubakar, Abah Emmanuel Raphael
Department of Oculoplastics, Chaha Eye Hospitals, Kaduna, Nigeria.
Department of Ophthalmology, Ahmadu Bello University, Zaria, Nigeria.
Niger Med J. 2016 May-Jun;57(3):194-7. doi: 10.4103/0300-1652.184074.
This study was conducted to highlight the diagnostic and management challenges of orbital apex lesions. It is a retrospective report of a 14-year-old female who presented with no perception of light vision in her left eye following a 1-year history of left unilateral axial proptosis. Her computed tomography scan revealed a mass surrounding the optic nerve which was reported to be an optic nerve glioma. She had lateral orbitotomy and a cystic mass was dissected and excised. Systemic steroids and antibiotics were administered. Visual recovery was achieved in the immediate postoperative period. At discharge, her visual acuity was counting finger in the left eye. Visual recovery in the orbital apex lesions is possible if the patient is diagnosed early and managed promptly but delayed presentation and diagnostic challenges could lead to irreversible blindness.
本研究旨在突出眶尖病变的诊断和管理挑战。这是一份回顾性报告，对象为一名14岁女性，其左眼有1年单侧轴向突出病史，之后出现左眼无光感视力。她的计算机断层扫描显示视神经周围有一个肿块，报告为视神经胶质瘤。她接受了外侧眶切开术，一个囊性肿块被分离并切除。给予了全身类固醇和抗生素治疗。术后即刻实现了视力恢复。出院时，她左眼视力为指测视力。如果患者能早期诊断并及时处理，眶尖病变的视力恢复是可能的，但就诊延迟和诊断挑战可能导致不可逆转的失明。
