The superior orbital fissure syndrome

Zachariades, Nicholas; Vairaktaris, Eleftherios; Papavassiliou, Demetrius; Papademetriou, Ioannis; Mezitis, Michael; Triantafyllou, D

doi:10.1016/s0301-0503(85)80031-x

Cited by 34 publications

(29 citation statements)

References 5 publications

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“…1 The syndrome occurs in both complete and incomplete forms, depending on the extent of involvement of structures passing through the superior orbital fissure. Superior orbital fissure syndrome can therefore give rise to a combination of ophthalmoplegia, ptosis, proptosis, anaesthesia in the distribution of V 1 and a fixed dilated pupil.…”

Section: Commentmentioning

confidence: 99%

“…[1][2][3] Documented causes of superior orbital fissure syndrome include tumours, haemorrhage, infection, or trauma. 1 Superior orbital fissure syndrome is rarely associated with trauma; when it is, it is usually in association with fractures involving the facial skeleton. 1,2 The nerves of the …”

Section: Commentmentioning

confidence: 99%

“…1 Superior orbital fissure syndrome is rarely associated with trauma; when it is, it is usually in association with fractures involving the facial skeleton. 1,2 The nerves of the …”

Section: Commentmentioning

confidence: 99%

“…Surgery can be considered when there is evidence of optic nerve compromise either by bony fragments impinging on the nerve or in cases associated with a nonresolving orbital haematoma if after 3-4 months there is evidence of optic atrophy. 1 In the absence of optic nerve dysfunction, the patient could lose vision if surgery resulted in iatrogenic damage to the nerve. 3 It is difficult to know whether the use of steroids in superior orbital fissure syndrome helps, as there are not a sufficient number of cases to give a definitive answer.…”

Section: Correspondencementioning

confidence: 99%

“…The fundi were normal. The patient had loss of sensation in V. 1 Since the patient was stable and there was no evidence of optic nerve involvement, the provisional diagnosis of superior orbital fissure syndrome was made and the patient commenced on oral steroids and antibiotics. Pupillary reactions were carried out throughout the night and a CT scan was arranged for the following morning.…”

mentioning

confidence: 99%

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Traumatic superior orbital fissure syndrome

McAvoy

Lacey

Page

2004

Eye

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Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

“…1 Superior orbital fissure syndrome is rarely associated with trauma; when it is, it is usually in association with fractures involving the facial skeleton. 1,2 The nerves of the …”

Section: Commentmentioning

confidence: 99%

Section: Correspondencementioning

confidence: 99%

mentioning

confidence: 99%

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Traumatic superior orbital fissure syndrome

McAvoy

Lacey

Page

2004

Eye

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Reversible visual loss due to impacted lateral orbital wall fractures

1989

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Impaction of the sharp medial edge of the orbital plate of the greater sphenoid wing into the orbital apex is a unique type of lateral orbital wall fracture that can produce a potentially reversible optic neuropathy. Two patients in whom the lateral or temporal approach to the orbit was used to reduce this type of fracture will be presented. In both patients, improvement in vision appeared to be related to removal of a bone fragment compressing the optic nerve in the orbital apex.

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The superior orbital fissure and its contents

et al. 1999

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Topographic landmarks for the superior orbital fissure are useful for general orientation and approach to the middle fossa, cavernous sinus and orbit. In this study, the microsurgical anatomy and morphometry of the superior orbital fissure and its related structures were examined in 57 disarticulated sphenoid bones, 102 skull bases and 58 adult cadaveric heads. The superior orbital fissure was observed in nine different shapes based on the classification of Sharma et al. (1988), and the most frequently observed was Type VI. The distance from the superomedial to the superolateral edge was measured as 17.3 +/- 3.4 mm on the right side and 16.9 +/- 2.9 mm on the left side, and from the superolateral to the inferior edge as 20.8 +/- 3.9 mm on the right side and 20.1 +/- 3.8 mm on the left side. The distance from the superomedial to the inferior edge of the fissure was measured as 9.5 +/- 2.2 mm on the right side and 9 +/- 2.4 mm on the left side. No right-left differences were observed for these measurements. Measurements regarding the relationship of the oculomotor, trochlear and abducent nerves, the ophthalmic branch of the trigeminal nerve and the superior orbital vein were performed and topographic aspects of the superior orbital fissure region were described.

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The superior orbital fissure syndrome

Cited by 34 publications

References 5 publications

Traumatic superior orbital fissure syndrome

Traumatic superior orbital fissure syndrome

Reversible visual loss due to impacted lateral orbital wall fractures

The superior orbital fissure and its contents

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