Orbital infarction syndrome

Details

Serval ID
serval:BIB_3461CABE3608
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Orbital infarction syndrome
Journal
Ophthalmology
Author(s)
Borruat  F. X., Bogousslavsky  J., Uffer  S., Klainguti  G., Schatz  N. J.
ISSN
0161-6420 (Print)
Publication state
Published
Issued date
04/1993
Volume
100
Number
4
Pages
562-8
Notes
Case Reports
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Apr
Abstract
BACKGROUND: The authors define orbital infarction as ischemia of all intraorbital and intraocular structures. It is a rare disorder due to the rich anastomotic vascularization of the orbit. PATIENTS: The authors report three patients with orbital infarction with similar clinical presentations: acute blindness, orbital pain, total ophthalmoplegia, and anterior and posterior segment ischemia. RESULTS: Etiologies of orbital infraction syndrome include occlusion of the common carotid artery (case 1), giant-cell arteritis (case 2), and mucormycosis (case 3). CONCLUSION: Three cases discussed in this article illustrate that orbital infarction is a disorder that can occur secondary to different mechanisms such as (1) acute perfusion failure (e.g., common carotid artery occlusion [possibly combined with anomalous orbital anastomotic channels]), 2) systemic vasculitis (e.g., giant-cell arteritis), and (3) orbital cellulitis with vasculitis (mucormycosis). The blindness and retinal and optic nerve damage were permanent, whereas the other signs of orbital ischemia (ophthalmoplegia and anterior segment ischemia) resolved. Therefore, diagnosis of orbital infarction can best be made during the acute phase.
Keywords
Aged Aged, 80 and over Blindness/etiology Carotid Stenosis/complications Female Fluorescein Angiography Fundus Oculi Humans Infarction/complications/*etiology Male Middle Aged Mucormycosis/complications Orbit/*blood supply Syndrome Temporal Arteritis/complications Tomography, X-Ray Computed
Pubmed
Web of science
Create date
28/01/2008 13:37
Last modification date
20/08/2019 14:21
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