DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20213289

Covid associated orbital apex syndrome: Madras ENT Research Foundation experience

Manjunatha H. Anandappa, Sunil Mathews, Kiran Natarajan, Raghunandhan S., Mohan Kameswaran

Abstract


The second wave of corona virus pandemic is currently raging through India since last few weeks. Since last year, COVID-19 has brought in a multitude of challenging manifestations in the ENT regions. One such rare and complex entity is OAS (orbital apex syndrome). This case series highlighted our experience in 2020 with managing two such cases of OAS associated with COVID-19 infection. Their clinical and radiological presentation was discussed and their management protocol was explained with references from relevant literature. Although elderly patients with co-morbidities were considered to have highest risk for COVID-19 associated neurologic and ophthalmic complications earlier, now it was found to affect younger healthy individuals as noted in our cases. Knowledge about such virulent complications of COVID-19 is essential for otolaryngologists, to manage this life-threatening entity in a timely manner.


Keywords


COVID-19, Diplopia, Ophthalmoplegia, Stroke, Orbital apex syndrome, Mucormycosis

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References


Bagheri M, Jafari A, Jafari S. Orbital apex syndrome in COVID-19 patient, a case report. Vis J Emerg Med. 2021;23:101006.

Ronen JA, Malik FA, Wiechmann C, Kolli S, Nwojo R. More than meets the eye: aspergillus-related orbital apex syndrome. Cureus. 2020;12(7):9352.

Badakere A, Patil-Chhablani P. Orbital apex syndrome: a review. Eye Brain. 2019;11:63-72.

Warburton RE, Brookes CCD, Golden BA, Turvey TA. Orbital apex disorders: a case series. Int J Oral Maxillofac Surg. 2016;45(4):497-506.

Lima MA, Silva MTT, Soares CN, Coutinho R, Oliveira HS, Afonso L, et al. Peripheral facial nerve palsy associated with COVID-19. J Neurovirol. 2020;26(6):941-4.

Lim CC, Liao C, Lee WA. Orbital apex syndrome secondary to fungal sinusitis. QJM. 2020;113(3):205-6.

Yeh S, Foroozan R. Orbital apex syndrome. Curr Opin Ophthalmol. 2004;15(6):490-8.

Lou AY, Wannemuehler TJ, Russel PT, Barahimi B, Sobel RK. Orbital apex syndrome caused by Alternaria species: a novel invasive fungus and new treatment paradigm. Orbit. 2020;39(1):64-7.