scholarly journals Rapidly Progressive Orbital Apex Syndrome Due to Scedosporium apiospermum Following Endoscopic Sinus Surgery

Cureus ◽  
2021 ◽  
Author(s):  
Steven R Engebretsen ◽  
Luxman Srikantha ◽  
Samba Siva Bathula
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Scedosporium Apiospermum ◽  
Orbital Apex ◽  
Orbital Apex Syndrome

scholarly journals Granulomatosis with Polyangiitis Presenting with Bilateral Orbital Apex Syndrome

2021 ◽  
pp. 32-40
Author(s):  
Yusuke Murai ◽  
Takuji Kurimoto ◽  
Sotaro Mori ◽  
Kaori Ueda ◽  
Mari Sakamoto ◽  
...  
Keyword(s):  
Visual Field ◽  
Eye Movement ◽  
Endoscopic Sinus Surgery ◽  
Granulomatosis With Polyangiitis ◽  
Field Tests ◽  
Sinus Surgery ◽  
Orbital Apex ◽  
Orbital Apex Syndrome ◽  
Initial Examination ◽  
Steroid Pulse

We report a rare case of granulomatosis with polyangiitis (GPA) presenting with bilateral orbital apex syndrome (OAS). A 73-year-old woman with a history of endoscopic sinus surgery for ethmoidal sinusitis experienced a sudden decrease in visual acuity (VA) of both eyes. At the initial examination, her VA had decreased to 0.01 in the right eye and 0.03 in the left eye, and eye movement in both eyes was mildly limited in all directions. Visual field tests of both eyes showed a large central scotoma. Laboratory tests revealed an elevation of myeloperoxidase-anti-neutrophil cytoplasmic antibody. Facial computed tomography demonstrated a thickened mucosal membrane in the entire ethmoidal sinus, and the posterosuperior walls of Onodi cells filled with infiltrative lesions had thinned. Orbital magnetic resonance imaging showed severe inflammation in the orbital apex. From these clinical findings, the patient was diagnosed with GPA presenting with OAS associated with ethmoid sinusitis. Emergent endoscopic sinus surgery was performed for biopsy and debridement of the ethmoidal and sphenoid sinusitis to decompress the optic nerve. One day after endoscopic sinus surgery, the patient’s VA and visual field were improved, and steroid pulse therapy was commenced postoperatively. Four days later, VA had recovered to 1.0 in both eyes, and eye movement and visual field had were improved. Although OAS is a rare manifestation, early surgical treatment should be considered when the orbital lesion presents as risk of rapid deterioration of visual function in patients with GPA.

scholarly journals Scedosporium apiospermum: A Rare Cause of Aggressive Orbital Apex Syndrome

Cureus ◽  
2018 ◽  
Author(s):  
Ui Lyn Loh ◽  
Pih Yih Tai ◽  
Adil Hussein ◽  
Fazilawati A Qamarruddin
Keyword(s):  
Scedosporium Apiospermum ◽  
Orbital Apex ◽  
Orbital Apex Syndrome

Ophthalmic Complications after Surgery for Nasal and Sinus Polyposis

2001 ◽  
Vol 11 (3) ◽  
pp. 218-222 ◽  
Author(s):  
P. Vassallo ◽  
F. Tranfa ◽  
R. Forte ◽  
A. D'Aponte ◽  
D. Strianese ◽  
...  
Keyword(s):  
Extraocular Muscle ◽  
Muscle Injury ◽  
Early Recognition ◽  
Endoscopic Procedure ◽  
Sinus Surgery ◽  
Orbital Apex ◽  
Orbital Apex Syndrome ◽  
Fourth Case ◽  
Orbital Complications

Purpose To describe ophthalmic complications after nasal and sinus surgery. Methods Four cases with orbital complications were retrospectively selected from among more than 2000 cases of orbital pathologies. Results Motility disturbances due to extraocular muscle injury occurred in two patients after intranasal ethmoidectomy and in one patient after a Caldwell-Luc procedure. In the fourth case an orbital apex syndrome was noted after intranasal ethmoidectomies. Conclusions Ophthalmic complications may occur after nasal and sinus surgery, even using an endoscopic procedure. Successful handling of these complications could be reached by on their early recognition and treatment.

Sign in / Sign up

Export Citation Format

Share Document