Dr. Pranesh Balasubramaniam
Dr. KOWSALYA AKKAYASAMY
Abstract
This retrospective observational study aims to understand the varied etiological mechanisms, clinical signs, and prognoses of the patients diagnosed with SOFS. Records of 52 patients diagnosed with SOFS in the past year were studied. SOFS is differentiated from Orbital Apex Syndrome by the sparing of the optic nerve. The most common cause observed in our study was Tolosa Hunt Syndrome. The abducent nerve was the most commonly affected extraocular nerve. The most frequently ordered imaging modality was MRI with contrast. Most of our patients’ symptoms resolved with intravenous methylprednisolone. The diagnosis of SOFS is suspected purely on clinical grounds. Imaging study does play a role in confirming the pathology, and more importantly, gives an insight into the underlying etiology. Ophthalmologists should be aware of the possible features of the syndrome complex. Traumatic cases require surgical exploration of the area, therefore inter-disciplinary approach warrants in such cases.
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