Cavernous sinus/orbital apex syndrome associated with indwelling orbital catheter use

Timothy Lax, John Ng

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 46-year-old man with a history of right orbital fractures and blindness underwent simultaneous fracture repair and enucleation with orbital implantation. During surgery, an orbital catheter was placed for administering local anesthesia to control postoperative pain. After administration of local anesthesia through the catheter on postoperative day 1, the patient had development of a complete ptosis, total ophthalmoplegia, mydriasis, vision loss from 20/20 to NLP, and hypesthesia of the V1 and V2 trigeminal nerve distribution. Intraocular pressures and dilated funduscopic examination were normal. There was no evidence of central nervous system effects or respiratory depression. After 4 hours of observation, the vision, sensation, motility, ptosis, and pupil response all returned to normal. Although rare, contralateral cavernous sinus/orbital apex syndrome may occur with indwelling orbital catheter administration of local anesthetic in an orbit with fractures.

Original languageEnglish (US)
Pages (from-to)389-391
Number of pages3
JournalOphthalmic Plastic and Reconstructive Surgery
Volume22
Issue number5
DOIs
StatePublished - Sep 2006

Fingerprint

Cavernous Sinus
Indwelling Catheters
Local Anesthesia
Catheters
Mydriasis
Orbital Fractures
Ophthalmoplegia
Trigeminal Nerve
Hypesthesia
Orbit
Blindness
Pupil
Postoperative Pain
Local Anesthetics
Intraocular Pressure
Respiratory Insufficiency
Central Nervous System
Observation

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Cavernous sinus/orbital apex syndrome associated with indwelling orbital catheter use. / Lax, Timothy; Ng, John.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 22, No. 5, 09.2006, p. 389-391.

Research output: Contribution to journalArticle

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