Saptagirish Rambhatla

Abstract

Orbital Apex Syndrome (OAS) is commonly caused by specific inflammations, infections, neoplasms, iatrogenic, trauma, vascular and non-specific orbital inflammation (NSOI). OAS secondary to NSOI responds rapidly to corticosteroids. There are very few case reports on azathioprine as additional treatment modality in OAS secondary to NSOI. We are presenting a 42 years old female who had recurrent episodes of painful ophthalmoplegia, treated with steroid therapy. Patient was steroid dependant. Therefore, she was started on azathioprine 2-3mg/kg body weight for 36 weeks. She had complete remission of the painful ophthalmoplegia, with no further recurrence on 6 months follow-up. Keywords: Orbital apex Syndrome, Non specific orbital inflammation, Azathioprine.

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Abstract

Visual loss following orbital surgery, though rare, is a devastating complication. Ophthalmic artery occlusion as a cause is even more rare and grave as the vision loss is irreversible. We report one such case following lateral orbitotomy for an orbital schwannoma in a young man who denied light perception post operatively and was diagnosed to have an ophthalmic artery occlusion. Keywords: Schwannoma, Orbitotomy, Vision loss, Ophthalmic artery occlusion

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