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KMID : 1005420030050010053
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Journal of Cerebrovascular and Endovascular Neurosurgery
2003 Volume.5 No. 1 p.53 ~ p.57
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Five Cases of Orbital Infarction Syndrome Caused by Compression of Surgical Scalp Flap - Case Report -
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Lee Jin-Seok
Lee Il-Woo
Lee Hyung-Jin
Yang Ji-Ho
Kim Dal-Soo
Kim Moon-Chan
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Abstract
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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.
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KEYWORD
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Orbital infarction syndrome, Unilateral blindness, Scalp flap
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