&lt;p&gt;Central Retinal Artery Occlusion After Nasosinal Surgery – an Insight&lt;/p&gt;

Chowdhary, Somya; Sawhney, Vivek; Pandya, Abhijit S.; Saurabh, Kumar; Gupta, Shailesh Kumar

doi:10.2147/imcrj.s247275

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…They managed the case using hyperbaric oxygen therapy four days after the insult. Despite the long period after the insult, which may be considered out of the window for intervention, there was an improvement both in the visual acuity and the visual field [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Central retinal artery occlusion has been reported as a rare complication after some otorhinolaryngology procedures. While this complication is not fully understood, it has been linked to different mechanisms, including trauma to the orbital wall or structures, injection of local anesthetic during the procedure, and fat embolism, which is considered an extremely rare complication [ 5 , 7 , 8 ]. Vasoconstrictive agents such as adrenaline are commonly used as local anesthetics during otorhinolaryngology procedures.…”

Section: Discussionmentioning

confidence: 99%

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Branch Retinal Artery Occlusion Following Rhinoplasty: A Case Report

Algamdi,

Alshaibani,

Alkhars

et al. 2023

Cureus

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Central retinal artery occlusion (CRAO) is a sudden and vision-threatening condition with catastrophic consequences unless managed immediately by reestablishing the retinal circulation. Even though CRAO is a common ocular disorder, it is a very rare complication after non-ocular surgeries; only a few cases have been reported in the literature. Cardiac and spine surgeries are considered the most common causes of postoperative vision loss.In this case report, we present the case of a young female patient diagnosed with central retinal artery occlusion after a septoplasty. This is considered the first reported case in the Kingdom of Saudi Arabia. Branch retinal artery occlusion (BRAO) and CRAO are possible complications of otorhinolaryngology procedures, and both otorhinolaryngologists and ophthalmologists should be aware of these possible complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Branch Retinal Artery Occlusion Following Rhinoplasty: A Case Report

Algamdi,

Alshaibani,

Alkhars

et al. 2023

Cureus

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“…They also reported vasoconstriction in the background of epinephrine usage and the presence of autoimmune disease as the main cause of this problem, which was reversed by nitroglycerine. Similarly, Chowdhary et al [ 7 ] discussed a case of CRAO after sinus surgery in a 25-year-old healthy Caucasian male, with painless loss of vision in the left eye. Their case also received hyperbaric oxygen and showed improvement in visual acuity.…”

Section: Discussionmentioning

confidence: 99%

Central Retinal Artery Occlusion after Rhinoplasty Surgery: A Case Report and Literature Review

Ansari-Astaneh

Raoufi

Shokoohi-rad

et al. 2022

Case Reports in Ophthalmological Medicine

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Aim. This study was aimed at reporting a case of central retinal artery occlusion (CRAO) after rhinoplasty. Case Report. Unilateral blindness occurred in a 22-year-old woman after rhinoplasty with a history of transient visual loss due to migraine aura and vasospasm. The physical examination of the patient revealed a visual acuity of no light perception in the right eye, a 4+ relative afferent pupillary defect, disc swelling, cherry-red spot in the macula, and ischemic retina in the right eye. Based on the diagnosis of CRAO, the patient underwent anterior chamber paracentesis (AC tap) along with treatment with mannitol and intravenous hydrocortisone. Visual acuity improved to 1/10 after a two-month follow-up. Conclusion. Taking history is very important in rhinoplasty surgery, and vasoconstrictors should be limited in the patients with a suspected history of vasospasm.

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Eyeing risks: Navigating ophthalmic challenges in sinus surgery

Dubey,

Venkatraman,

Barman

et al. 2023

LAJO

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This is a descriptive case report of a 25-year-old male who presented with right eye diminution of vision associated with ophthalmoplegia and strabismus following functional endoscopic sinus surgery (FESS) for deviated nasal septum. On examination, he had a large angle right exotropia with enophthalmos and restricted extra ocular movements. Pupils were dilated and fixed suggestive of optic neuropathy and fundus revealed a central retinal artery occlusion. Multimodal radiological imaging revealed optic nerve sheath hematoma, fracture of medial orbital wall and orbital floor along with medial rectus disinsertion with posterior discontinuation. Due to delayed presentation at our clinic, he was managed conservatively with intravenous and oral corticosteroids. The patient displayed mild improvement in ocular movement and vision. He was advised orbital reconstruction of the medial wall and floor for enophthalmos correction and cosmesis. Although a relatively safe procedure, FESS can result into varied orbital complications, including damage to the extraocular muscles, optic nerve and its vascular supply. This case report, to the best of our knowledge is the first of its kind to document ophthalmoplegia due to medial rectus disinsertion along with central retinal artery occlusion. It also highlights the perioperative risk factors and provides insight into the intraoperative signs to be cautious of during sinus surgeries

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<p>Central Retinal Artery Occlusion After Nasosinal Surgery – an Insight</p>

Cited by 3 publications

References 13 publications

Branch Retinal Artery Occlusion Following Rhinoplasty: A Case Report

Branch Retinal Artery Occlusion Following Rhinoplasty: A Case Report

Central Retinal Artery Occlusion after Rhinoplasty Surgery: A Case Report and Literature Review

Eyeing risks: Navigating ophthalmic challenges in sinus surgery

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