Orbital apex syndrome (OAS) is a rare and serious condition that can affect vision and potentially be life-threatening due to its links to sinus infections.
A study reviewed 27 patients who had OAS caused by sinusitis and underwent endoscopic sinus surgery (ESS) from 2011 to 2021, focusing on symptom resolution and outcomes.
Results showed that while some patients experienced stabilization or improvement in vision post-surgery, there were significant reductions in ptosis (70% improvement) and ophthalmoplegia (85% improvement), with minimal complications and a low mortality rate of 3.7%.
Neonatal orbital complications can be severe and need quick diagnosis and treatment, as seen in a case of a 25-day-old baby with rapid onset symptoms like eye bulging and swelling.
Despite an initial attempt at treatment with antibiotics, the condition worsened, leading to an MRI that indicated right orbital cellulitis, possible abscess, and inflammation.
Successful treatment involved a difficult transnasal endoscopic procedure to drain and relieve pressure, resulting in significant improvement in the patient's symptoms post-surgery.