Traumatic Superior Orbital Fissure Syndrome – A Case Study

Angelo Rando, BOrth(Hons) DOBA

Superior orbital fissure syndrome is characterised by ophthalmoplegia, ptosis and proptosis of the eye, pupil dilation and anaesthesia of the upper eyelid and forehead. This syndrome may be the result of neoplasms of the retrobulbar space, hemotoma and infection of the cavernous sinus, craniofacial fractures and other anomalies in the region of the superior orbital fissure. A fifty nine year old woman presented to the Royal Victorian Eye and Ear Hospital with a complete right ptosis and ophthalmoplegia following blunt trauma. The clinical presentation of traumatic superior orbital fissure syndrome is described.