HealthDiseases and Conditions

Syndrome of the upper orbital gap: symptoms, diagnosis, treatment

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?

The syndrome of the upper orbital gap is the damage to the structure of the tissues passing through the eye veins and arteries. In some cases, pathological changes can affect the block, oculomotor and distracting nerves. The combination of these manifestations is reflected in the formation of a stable pain syndrome in the area of the orbital orbit. In the end, there are significant problems with vision.

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

Often manifestations of the disease occur rapidly, without preconditions for that. Determine the development of the disease can be due to severe discomfort in the area behind the eyeball. An additional symptom of this often is aching pain in the brow, temporal or frontal zone.

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.


Studies aimed at identifying the syndrome of the upper ophthalmic gap, are multifaceted. At the first suspicion on the development of the disease resort to the consultation of an ophthalmologist. The specialist performs diagnostics of acuity and visual fields. Then the patient is sent to a neurologist who collects an anamnesis and conducts a comprehensive examination.

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.


To date, the only productive method of therapy for the development of the syndrome of the upper globule is the reception of steroids. Positive results with such medication are observed already in the first day.

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.

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