Superior Orbital Fissure Syndrome

Superior Orbital Fissure Syndrome
Other Names	Rochon–Duvigneaud syndrome
Bony architecture of the superior orbital fissure
Identifiers
ICD-9	437.6
ICD-10	I67.6
Outside Resources
EyeWiki	Superior Orbital Fissure Syndrome
Radiopaedia	Superior Orbital Fissure Syndrome

Diagnosis

Differential Diagnosis

While the cause of orbital apex syndrome can vary, its presentation is similar to two other diagnoses to consider:

• Orbital Apex Syndrome
• Cavernous Sinus Syndrome

This table helps outline the differences in cranial nerve involvement in these three diagnoses.

Cranial Nerve Involvement in Diseases Near the Orbital Apex

Syndrome	CN II	CN III	CN IV	CN V-1	CN V-2	CN VI	Sympathetics
Orbital Apex Syndrome	✔	✔	✔	±		✔
Superior Orbital Fissure Syndrome		✔	✔	✔		✔
Cavernous Sinus Syndrome		✔	✔	✔	✔		✔