Orbital apex syndrome.

Abstract:

:A case is presented of a 16-year-old anticoagulated, immunocompromised male presenting with a blind, proptotic left eye, total ophthalmoplegia, and central retinal artery occlusion. Ophthalmic examination revealed other features of the orbital apex syndrome. Mucormycosis misdiagnosed as a traumatic orbital hemorrhage led to the patient's death. In this review, differential diagnosis of the orbital apex syndrome (loss of cranial nerves II, III, IV, ophthalmic division of V, and VI) is outlined, and features, diagnosis, and treatment of mucormycosis are discussed. Although mucormycosis is most commonly seen in diabetics, it should be considered in any immunocompromised patient presenting with the constellation of features of orbital apex syndrome.

journal_name

Surv Ophthalmol

journal_title

Survey of ophthalmology

authors

Bray WH,Giangiacomo J,Ide CH

doi

10.1016/0039-6257(87)90106-8

subject

Has Abstract

pub_date

1987-09-01 00:00:00

pages

136-40

issue

2

eissn

0039-6257

issn

1879-3304

pii

0039-6257(87)90106-8

journal_volume

32

pub_type

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