Syndrome of the upper ophthalmic gap - a painful ophthalmic pathology, which is a fairly rare ailment. The disease is accompanied not only by pronounced discomfort, but also by a number of neurological manifestations, in particular dysfunction of cranial nerves. Let's consider what constitutes the syndrome of the upper orbital gap. The photos will allow to understand the general picture of pathology.
What is the manifestation of the disease?
Syndrome of the upper orbital gap: causes
The mechanism of the development of the syndrome has not been fully studied to this day. It is only known that it can be generated:
- Neurological pathologies;
- Mechanical damage to the orbit of the eyes;
- Brain tumors that are located near the orbit;
- Inflammatory processes in the structure of the cerebral cortex;
- Meningitis that develops in the area of the orbital fissure.
Syndrome of the upper orbital gap equally affects both the female and male parts of the population. Especially often, pathology occurs in people in old age.
Syndrome of the upper orbital gaps: symptoms
A few weeks after the activation of the abovementioned clinical manifestations, a feeling of double vision is added, an inability to control one of the eyeballs. All this over time grows into a squint on the side, where the discomfort most clearly manifests itself.
Quite often, the syndrome of the upper glottis is expressed by the defeat of various optic nerves in separate combinations. For this reason, some patients may have prolonged conjunctivitis, in others - exophthalmos.
Usually, the pain syndrome persists until the clinical manifestation of the disease completely manifests, which takes about two months. In some cases, the symptomatology is supplemented by sharp jumps in body temperature, unexplained changes in indices during consecutive blood tests.
Subsequent diagnosis is performed using neuro-visual methods. Here, MRI and CT of the brain, echography and angiography of eyeballs are used. According to the requirements for the final diagnosis, it is possible to judge the presence of the syndrome of the superior ophthalmic gap only if granulomatous inflammation of the cavernous sinuses is detected by magnetic resonance imaging.
With the development of this pathology, doctors who are studying the problem, note the rather high effectiveness of corticosteroids. Usually the patient is prescribed prednisolone in tablets or analogues.
In general, it is rather difficult for specialists to conduct controlled studies using a placebo on a sample of subjects, which would make it possible to identify truly effective drugs. The reason for this is the relative rarity of the disease.
Therapy aimed at eliminating the syndrome assumes first of all the determination of factors that provoke the manifestation of pathology. Therefore, when revealing the first symptoms of the disease and the conditions that accompany them, it is extremely important to immediately seek help from an ophthalmologist for a set of diagnostic procedures.