UNIVERSITAS AIRLANGGA



Detail Article

Jurnal Oftalmologi Indonesia

ISSN 1693-2587

Vol. 5 / No. 3 / Published : 2001-01

Related with : Scholar   Yahoo!   Bing

Original Article :

Bilateral orbital apex syndrome

Author :

  1. Dicky Hermawan*1
  2. Elisabeth Srisubekti*2
  3. Prijanto *3
  1. Dosen Fakultas Kedokteran

Abstract :

The purpose of this study is to report a rare case of secondary bilateral complete ophthalmoplegia due to a malignancy or infectionof the cavernous sinus and orbital apex. 52 year-old woman had suffered from blurred vision and ocular pain for 5 weeks. Examinationrevealed negative light perception, ptosis, complete ophthalmoplegia and ocular pain on both eyes. Magnetic resonance imaging (MRI)showed the presence of a mass on cavernous sinous, spread to right and left sphenoidalis and ethmoidalis sinuses. Involvement of thechiasma, right optic nerve, medial and lateral rectus muscles of the right eye and right temporofrontalis lobe was observed. There was0.30 cm midline shift to the left. Differential diagnosis included nasopharyngeal carcinoma, lymphoma, or an infectious process. Thepatient wasn’t operated because the position of the mass was in the midline and had a high risk to operate. The possible therapies werechemotherapy or radiotherapy with biopsy initially to know histological diagnosis. A combination of surgical, medical, and radiologicalintervention may be required to manage rhino-cerebral diseases responsible for orbital apex syndrome. Advances in neurologic imaging,histologic examination of tissue obtained from a biopsy may ultimately be necessary to obtain a definitive diagnosis.

Keyword :

bilateral ophthalmoplegia, cavernous sinuses, orbital apex syndrome,


References :

Cibis G.W., et al,(2001) Fundamentals and Principles of Ophthalmology San Francisco : The Foundation of the American Academy of Ophthalmology

Riordan-Eva P., Whitcher J.P. 2004. Vaughan and Asbury’s,(2004) General Ophthalmology Singapore : Mc Graw Hill

Kanski J.J. 2003,(0000) Clinical Ophthalmology A Systematic Approach, 5th ed London : Butterworth Heinemann





Archive Article

Cover Media Content

Volume : 5 / No. : 3 / Pub. : 2008-12
  1. C Y T O K I N E S
  2. Skin Flap Pada Kelopak Mata
  3. Fitting Lensa Kontak Rigid Gas Permeable (rgp)
  4. Teknik Pembedahan Rekonstruksi Pasca Eksisi Tumor Ganas Kelopak Mata
  5. Diplopia Binokuler Akibat Paresis N Iii, Iv Dan Vi Di Rs Mata Dr. Yap Yogyakarta
  6. Comparison Of P53 Expression In Hpv(+) And Hpv(-) In Conjunctival And Eyelid Squamous Neoplasia
  7. The Comparison Of Tetracycline And Doxycycline Treatment On Corneal Epithelial Wound Healing In The Rabbit Acid-burn Model
  8. Dandy Walker Syndrome In 7 Month-old Boy
  9. Combination Of Cutler -beard Flap,v-y Glabellar Flap And Direct Closure For Large Resection Upper Eyelid And Medial Canthus
  10. Limbal Stem Cell Transplantation In Limbal Stem Cell Deficiency After Steven Johnson Syndrome
  11. Hypoglobus And Ptosis Reconstruction After Lacrimal Benign Mesenchymal Tumor Excision
  12. Association Between Refractive Changes And Blood Glucose Changes In Diabetic Mellitus Type 2 Patient
  13. Management Of The Complication After Silicone Fluid Injection At Facial And Eyelid Region
  14. The Difference Of Epidermal Growth Factor Concentration Between Fresh And Freeze-dried Amniotic Membranes
  15. Sindroma Laurence-moon-bardet-biedl
  16. Bilateral Orbital Apex Syndrome
  17. Clinical Difference Between Autograft Post Operated Pterygium Using Fibrin Glue And Polyglycolic Acid 10-0 Suture

Information index.php/JIPK/JOI