title: Successful delayed treatment of the traumatic orbital apex syndrome by nasal endoscopic decompression surgery.
abstract: 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.
authors.forename: Yuhua
authors.initials: Y
authors.lastname: Tong
authors.affiliation: Department of Ophthalmology, Quzhou People's Hospital, Quzhou, Zhejiang 324000, China.
authors.forename: Guohai
authors.initials: G
authors.lastname: Chen
authors.forename: Fangzheng
authors.initials: F
authors.lastname: Jiang
authors.forename: Wencan
authors.initials: W
authors.lastname: Wu
mesh_terms: D000328:Adult; D019299:Decompression, Surgical / Q000379:methods*; D005131:Eye Injuries / Q000150:complications* / Q000175:diagnosis; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D009666:Nose; D009901:Optic Nerve Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D009915:Orbit / Q000293:injuries / Q000601:surgery*; D013577:Syndrome; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity; D014794:Visual Fields