Your browser doesn't support javascript.
loading
A Posttraumatic Dilated, Proptotic Eye Does Not Always Need a Lateral Canthotomy! A Review of Superior Orbital Fissure Syndrome for Emergency Physicians.
Bui, Matthew; Ryan, Kevin M; Oke, Isdin; Peeler, Crandall E; Jacquet, Gabrielle A.
Afiliação
  • Bui M; Boston University School of Medicine, Boston, Massachusetts.
  • Ryan KM; Boston University School of Medicine, Boston, Massachusetts; Department of Emergency Medicine, Boston Medical Center, Boston, Massachusetts.
  • Oke I; Department of Ophthalmology, Boston Medical Center, Boston, Massachusetts.
  • Peeler CE; Boston University School of Medicine, Boston, Massachusetts; Department of Ophthalmology, Boston Medical Center, Boston, Massachusetts.
  • Jacquet GA; Boston University School of Medicine, Boston, Massachusetts; Department of Emergency Medicine, Boston Medical Center, Boston, Massachusetts.
J Emerg Med ; 60(4): 520-523, 2021 Apr.
Article em En | MEDLINE | ID: mdl-33478843
BACKGROUND: Superior orbital fissure syndrome (SOFS) is a rare constellation of findings consisting of ophthalmoplegia, ptosis, a fixed dilated pupil, forehead anesthesia, and loss of the corneal reflex. This syndrome, though rare, is most often encountered in trauma with individuals sustaining a facial fracture. CASE REPORT: We present a case of a young woman who was diagnosed with SOFS after a fall in her house, hitting her face on a nightstand. Treatment consisted of high-dose i.v. steroids followed by a taper with close follow-up in the Ophthalmology clinic. We provide a brief review of SOFS, including treatment considerations and follow-up. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: SOFS can be easily overlooked in an individual presenting to the emergency department after facial trauma with proptosis. However, a thorough examination of the eye, visual acuity, and intraocular pressure will focus the physician on SOFS rather than the need for immediate decompression via lateral canthotomy. This report describes a traumatic cause of SOFS, the pathophysiology and treatment, and summarizes existing literature.
Assuntos
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Médicos / Fraturas Cranianas / Blefaroptose / Exoftalmia Tipo de estudo: Etiology_studies Limite: Female / Humans Idioma: En Revista: J Emerg Med Assunto da revista: MEDICINA DE EMERGENCIA Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Médicos / Fraturas Cranianas / Blefaroptose / Exoftalmia Tipo de estudo: Etiology_studies Limite: Female / Humans Idioma: En Revista: J Emerg Med Assunto da revista: MEDICINA DE EMERGENCIA Ano de publicação: 2021 Tipo de documento: Article