Five Cases of Orbital Infarction Syndrome Caused by Compression of Surgical Scalp Flap.
- Author:
Cheong Ho NOH
1
;
Hyung Jin LEE
;
Jin Seok YI
;
Ji Ho YANG
;
Il Woo LEE
;
Dal Soo KIM
;
Mun Chan KIM
Author Information
1. Department of Neurosurgery, Daejeon St Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea.
- Publication Type:Case Report
- Keywords:
Orbital infarction syndrome;
Unilateral blindness;
Scalp flap
- MeSH:
Blindness;
Carotid Artery, Common;
Exophthalmos;
Giant Cell Arteritis;
Infarction*;
Ischemia;
Mucormycosis;
Ophthalmic Artery;
Ophthalmoplegia;
Orbit*;
Scalp*
- From:Korean Journal of Cerebrovascular Surgery
2003;5(1):53-57
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Orbital infarction syndrome is a rare disorder resulting from ischemia of the intraocular and intraorbital structures due to hypoperfusion of the ophthalmic artery and its branches. The syndrome can occur with common carotid artery occlusion, orbital mucormycosis, giant cell arteritis and complications of surgery and manifests proptosis, ophthalmoplegia, and unilateral blindness. We recently experienced 5 cases of proptosis, ophthalmoplegia and unilateral blindness immediately after operation for 2 years. The cause of orbital infarction syndrome in these cases appeared to be the direct compression of orbit by the tightly retracted frontal scalp flap. We report and discuss possible mechanism with literature review.
