We report the case of a 35-year-old man who developed blindness and ophthalmoplegia during local anesthetic infiltration of the nasal septum. The complications were temporary, and the patient had full recovery without treatment. The vascular anatomy of the area and possible pathogenic mechanisms are discussed, with some suggestions on the prevention of this complication.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Ophthalmic complications of injectable facial fillers.
World J Clin Cases
December 2024
Department of Community Medicine, Patna Medical College, Patna 800004, Bihar, India.
The recently published mini-review article by Miotti is an effort to clarify various aspects regarding the choice between fat grafts and fillers in facial aesthetic surgery. One of the complications associated with the administration of fillers is the possibility of vascular injury and spread of the dermal filler into the orbit, causing unexpected effects at a site distant from that of the initial injection, including ophthalmoplegia, ptosis and even visual compromise. Acute vision loss following filler injection is a devastating complication, occurring in up to 0.
View Article and Find Full Text PDFExpanded Endoscopic Endonasal Clipping of a Giant Cavernous Carotid Aneurysm.
World Neurosurg
December 2024
Saint Alphonsus Medical Group, Trinity Healthcare System, Boise, Idaho, USA.
Cavernous carotid aneurysms are typically small, asymptomatic, and often do not require treatment. We present the case of a 59-year-old woman, a 3-pack-a-day smoker, who presented with the primary complaint of left retro-orbital pain, left complete ophthalmoplegia, left-sided blindness, and right abducens palsy. Imaging revealed a giant right cavernous carotid aneurysm, which had expanded to the contralateral cavernous sinus wall and superiorly through the diaphragm sellae.
View Article and Find Full Text PDFBlindness After Frontal Craniotomy.
Acta Neurochir Suppl
November 2024
FSBI (Federal Neurosurgical Center), Ministry of Healthcare of Russia, Novosibirsk, Russia.
In our practice at our department, we have encountered two clinical cases involving the complete loss of vision and ophthalmoplegia after craniotomy on the vascular pathology of the brain. Both patients underwent microsurgery via bifrontal skin incision. In the first case, the subfrontal craniotomy on the right side was made, and then microsurgical resection of an arteriovenous malformation of the right frontal lobe was performed.
View Article and Find Full Text PDFUnraveling the Spectrum of Ocular Toxicity with Oxaliplatin: Clinical Feature Analysis of Cases and Pharmacovigilance Assessment of the US Food and Drug Administration Adverse Event Reporting System Database.
Clin Ther
December 2024
Department of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. Electronic address:
Article Synopsis
- This study investigates ocular adverse events (oAEs) linked to oxaliplatin, a chemotherapy drug, through a systematic review of case reports and analysis of patient data.
- Out of 20 reported cases, a majority (84.2%) experienced loss of vision, with other symptoms including eyelid conditions and optic disc swelling; about 4.28% of oxaliplatin-related adverse event reports involved these ocular issues, with a high rate of serious outcomes.
- The analysis also identified significant safety signals for various unexpected ocular injuries, indicating a need for increased awareness of these potential adverse effects among healthcare providers and patients.
Post-operative Unilateral Visual Loss and Ophthalmoplegia following Cervical Spine Surgery in Prone Position: A Case Report.
JNMA J Nepal Med Assoc
April 2024
Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences,Kathmandu, Nepal.
Visual loss following a spine surgery in a prone position is a disastrous and irreversible complication. Moreover, the recommended treatment for such visual loss is lacking and the outcome is not so satisfactory. A 38-year-old gentleman developed profound right sided visual loss after an uneventful cervical spine surgery in a prone position that lasted approximately two and half hours.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!