A case of Orbital Infarction Syndrome Caused by Compression of Bulky Bicoronal Scalp Flap.
- Author:
Eun Cheul LEE
1
;
Tae Hyung KIM
;
Jin Myung JUNG
;
Seong Wook SEO
Author Information
1. Department of Ophthalmology, Neurosurgery, College of Medicine, Gyeongsang National University, Korea.
- Publication Type:Case Report
- Keywords:
Hard and bulky scalp flap;
Compression;
Orbital infarction syndrome;
Blindness
- MeSH:
Adult;
Angiography;
Blindness;
Brain;
Cicatrix;
Exophthalmos;
Female;
Frontal Lobe;
Hemangioma, Cavernous;
Humans;
Infarction*;
Ischemia;
Oculomotor Nerve;
Ophthalmoplegia;
Optic Nerve Injuries;
Orbit*;
Papilledema;
Paralysis;
Prunus;
Radiotherapy;
Scalp*
- From:Journal of the Korean Ophthalmological Society
2002;43(4):795-800
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of orbital infarction syndrome induced by compression due to hard and bulky scalp flap. METHODS: Subject and METHODS: A 27-year-old female presented to our clinic, complaining of orbital pain, proptosis, ptosis, ophthalmoplegia and unilateral blindness, immediately after removal of cavernous hemangioma induced by the radiotherapy at 7 years earlier in right frontal lobe. Her scalp was hard and thick due to previous scar change and radiotherapy. Ophthalmologic examination demonstrated optic nerve injury, cranial nerve III, IV and VI palsy, diffuse retinal edema and cherry red spot in macula. Brain CT and MR angiography were done to evaluate the cause of orbital infarction. RESULTS: The cause of orbital infarction syndrome in this case appeared to be the compression of orbit by the hard and bulky scalp flap, and blindness was caused by the ischemia of intraorbital and intraocular structure.
