Superior orbital fissure syndrome

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Superior orbital fissure syndrome
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a) Partial ptosis, circumorbital edema, ecchymosis and subconjunctival hemorrhage b) wide pupil, and fixed lateral gaze in right eye. c) Axial CT scan showing proptosis in right eye
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Superior orbital fissure syndrome, also known as Rochon-Duvigneaud's syndrome,[1][2] is a neurological disorder that results if the superior orbital fissure is fractured.

Involvement of the cranial nerves that pass through the superior orbital fissure may lead to diplopia, paralysis of extraocular muscles, exophthalmos, and ptosis. Blindness or loss of vision indicates involvement of the orbital apex, which is more serious, requiring urgent surgical intervention.

Typically, if blindness is present with superior orbital syndrome, it is called orbital apex syndrome.[citation needed]

See also


  1. synd/3387 at Who Named It?
  2. A. Rochon-Duvigneaud. Quelques cas de paralysie de tous les nerfs orbitaires (ophthalmoplegie totale avec amaurosse en anesthésie dans le domaine de l’ophthalmique d’origine syphilitique). Archives d'ophthalmologie, Paris, 1896, 16: 746-760.

Further reading

  • Rai, Sachin; Rattan, Vidya (2012). "Traumatic superior orbital fissure syndrome: Review of literature and report of three cases". National Journal of Maxillofacial Surgery. 3 (2): 222. doi:10.4103/0975-5950.111392. Archived from the original on 29 July 2022. Retrieved 23 July 2022.