A case of Orbital Infarction Syndrome Caused by Compression of Bulky Bicoronal Scalp Flap.

Lee, Eun Cheul; Kim, Tae Hyung; Jung, Jin Myung; Seo, Seong Wook

Case Report

Journal of the Korean Ophthalmological Society 2002;43(4):795-800.
Published online April 1, 2002.

A case of Orbital Infarction Syndrome Caused by Compression of Bulky Bicoronal Scalp Flap.

Eun Cheul Lee, Tae Hyung Kim, Jin Myung Jung, Seong Wook Seo

Department of Ophthalmology, Neurosurgery, College of Medicine, Gyeongsang National University, Korea.

양관상 피부편의 압박에 의한 안와경색증후군 1례

이은철 ( Eun Cheul Lee ) , 김태형 ( Tae Hyung Kim ) , 정진명 ( Jin Myung Jung ) , 서성욱 ( Seong Wook Seo )

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.

Key Words: Hard and bulky scalp flap;Compression;Orbital infarction syndrome;Blindness