Abstract
Background.
Orbital Apex Syndrome (OAS) is a rare and potentially debilitating condition that causes sudden, painful vision loss. Despite its diverse causes, prompt diagnosis and early intervention are crucial for restoring vision and preventing long-term damage. This report presents a unique case of recurrent OAS, highlighting the importance of timely treatment and careful management.
Case presentation.
A 55-year-old woman presented with sudden, painful vision loss in her right eye, accompanied by ptosis and ophthalmoplegia, similar to a presentation she had experienced five years ago. Clinical examination revealed reduced visual acuity and painful restriction of right eye movements, while diagnostic tests showed a mildly bulky right optic nerve in the optic canal on MRI and prolonged P100 latency in the right eye on VEP. Based on these findings, an Orbital Apex Syndrome (OAS) diagnosis was made. She was treated with intravenous steroids and supportive care. Her vision was restored to normal, and her ptosis and painful eye movements were resolved. The patient was discharged with a tapering dose of oral steroids and remained symptom-free at follow-up.
Conclusion.
This case report highlights the importance of prompt diagnosis and treatment of Orbital Apex Syndrome (OAS), as timely intervention can significantly impact patient outcomes. The patient's presentation and response to treatment suggest that her OAS was likely caused by inflammatory factors, underscoring the need for swift and targeted management to prevent long-term vision loss and other complications.