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Type: Journal article
Title: Bilateral Orbital Compartment Syndrome and blindness after cerebral aneurysm repair surgery
Author: Takahashi, Y.
Kakizaki, H.
Selva-Nayagam, D.
Leibovitch, I.
Citation: Ophthalmic Plastic and Reconstructive Surgery, 2010; 26(4):299-301
Publisher: Lippincott Williams & Wilkins
Issue Date: 2010
ISSN: 0740-9303
Statement of
Yasuhiro Takahashi, Hirohiko Kakizaki, Dinesh Selva and Igal Leibovitch
Abstract: A 56-year-old man who underwent surgical clipping of a cerebral aneurysm via a bifrontal craniotomy in a Jack-knife position complained of bilateral blindness immediately after surgery. Examinations 14 hours later revealed marked bilateral proptosis with eyelid edema and conjunctival chemosis. MRI demonstrated severe bilateral globe tenting with marked orbital tissue edema. Despite emergent lateral canthotomy and cantholysis, there was no visual recovery. This is a rare case of bilateral irreversible blindness after cerebrovascular surgery caused by orbital compartment syndrome and resulting in severe globe tenting and ocular ischemia. Attention to factors such as direct ocular pressure from skin flaps, congestion from head positioning, and adequate intraoperative eye protection and monitoring may reduce the risk of this complication or allow faster management when diagnosed.
Keywords: Humans; Compartment Syndromes; Intracranial Aneurysm; Blindness; Orbital Diseases; Tomography, X-Ray Computed; Magnetic Resonance Imaging; Craniotomy; Middle Aged; Male; Functional Laterality
Rights: ©2010The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.
RMID: 0020100475
DOI: 10.1097/IOP.0b013e3181c062ca
Appears in Collections:Opthalmology & Visual Sciences publications

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