Orbital apex syndrome after ethmoidal artery ligation for recurrent epistaxis

Ophthalmic Plastic and Reconstructive Surgery
Steven YehRod Foroozan

Abstract

A 34-year-old man with severe, recurrent epistaxis underwent external anterior and posterior ethmoidal artery ligation on the right side. Visual loss from optic neuropathy and complete ophthalmoplegia developed after surgery. Computed tomography revealed surgical clips within the right orbital apex. Emergent removal of the surgical clips and medial wall decompression were performed. Four weeks later, his visual acuity and extraocular motility were unchanged, and diffuse pallor of the right optic disc was observed. Orbital apex syndrome can be a complication of ethmoidal artery ligation. Severe visual loss and ophthalmoplegia may persist despite prompt recognition and treatment.

References

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Citations

Feb 21, 2006·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Tate L ViehwegJ W Hudson
Nov 5, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Servet CelikFigen Govsa
Mar 22, 2013·Orbit·Orapan AryasitNipat Aui-Aree
Dec 17, 2008·Orbit·Ashwani SethiPushpinder S Khera
Oct 12, 2005·Plastic and Reconstructive Surgery·SuRak EoKodi Azari
Nov 2, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·S BischoffM B Soyka
Aug 12, 2016·The Journal of Craniofacial Surgery·Kang-Jae ShinHyun Jin Shin
Nov 4, 2004·Current Opinion in Ophthalmology·Steven Yeh, Rod Foroozan

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