Central retinal artery occlusion following severe blow-out fracture in young adult

Central retinal artery occlusion following severe blow-out fracture in young adult

Noriko Himori, Hiroshi Kunikata, Takaaki Otomo, Nobuo Fuse, Kohji NishidaDepartment of Ophthalmology and Visual Science, Tohoku University Graduate School of Medicine, Sendai, JapanAbstract: A 20-year-old woman was involved in a traffic accident while riding a motorcycle. The vision in her right eye...

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Autores principales: Noriko Himori, Hiroshi Kunikata, Takaaki Otomo, Nobuo Fuse, Kohji Nishida
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2009
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Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/e5776eb311344e409cf46c8bcc491b58
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spelling oai:doaj.org-article:e5776eb311344e409cf46c8bcc491b582021-12-02T07:31:43ZCentral retinal artery occlusion following severe blow-out fracture in young adult1177-54671177-5483https://doaj.org/article/e5776eb311344e409cf46c8bcc491b582009-04-01T00:00:00Zhttp://www.dovepress.com/central-retinal-artery-occlusion-following-severe-blow-out-fracture-in-a3073https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Noriko Himori, Hiroshi Kunikata, Takaaki Otomo, Nobuo Fuse, Kohji NishidaDepartment of Ophthalmology and Visual Science, Tohoku University Graduate School of Medicine, Sendai, JapanAbstract: A 20-year-old woman was involved in a traffic accident while riding a motorcycle. The vision in her right eye was severely reduced. At the first examination, the eyelids of her right eye were severely swollen, and the eye could barely be seen. The fundus was not visible. She had no light perception in her vision. Computed tomography revealed a severe blow-out fracture in her right eye. Surgery was immediately performed to correct the fracture and the eye globe was replaced in the orbit. On the fourth postoperative day, the right fundus was visible and a cherry-red spot and milky-white edema were seen. Fluorescein angiography showed an arterial filling defect. Four months later, her visual acuity was light perception. Our case shows that a central retinal artery occlusion can be a complication of a blow-out fracture of the lower orbital wall and can lead to severe visual loss even with early surgical repair.Keywords: central retinal artery occlusion, blow out fracture, trauma, young adult Noriko HimoriHiroshi KunikataTakaaki OtomoNobuo FuseKohji NishidaDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2009, Iss default, Pp 325-328 (2009)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Noriko Himori
Hiroshi Kunikata
Takaaki Otomo
Nobuo Fuse
Kohji Nishida
Central retinal artery occlusion following severe blow-out fracture in young adult
description Noriko Himori, Hiroshi Kunikata, Takaaki Otomo, Nobuo Fuse, Kohji NishidaDepartment of Ophthalmology and Visual Science, Tohoku University Graduate School of Medicine, Sendai, JapanAbstract: A 20-year-old woman was involved in a traffic accident while riding a motorcycle. The vision in her right eye was severely reduced. At the first examination, the eyelids of her right eye were severely swollen, and the eye could barely be seen. The fundus was not visible. She had no light perception in her vision. Computed tomography revealed a severe blow-out fracture in her right eye. Surgery was immediately performed to correct the fracture and the eye globe was replaced in the orbit. On the fourth postoperative day, the right fundus was visible and a cherry-red spot and milky-white edema were seen. Fluorescein angiography showed an arterial filling defect. Four months later, her visual acuity was light perception. Our case shows that a central retinal artery occlusion can be a complication of a blow-out fracture of the lower orbital wall and can lead to severe visual loss even with early surgical repair.Keywords: central retinal artery occlusion, blow out fracture, trauma, young adult
format article
author Noriko Himori
Hiroshi Kunikata
Takaaki Otomo
Nobuo Fuse
Kohji Nishida
author_facet Noriko Himori
Hiroshi Kunikata
Takaaki Otomo
Nobuo Fuse
Kohji Nishida
author_sort Noriko Himori
title Central retinal artery occlusion following severe blow-out fracture in young adult
title_short Central retinal artery occlusion following severe blow-out fracture in young adult
title_full Central retinal artery occlusion following severe blow-out fracture in young adult
title_fullStr Central retinal artery occlusion following severe blow-out fracture in young adult
title_full_unstemmed Central retinal artery occlusion following severe blow-out fracture in young adult
title_sort central retinal artery occlusion following severe blow-out fracture in young adult
publisher Dove Medical Press
publishDate 2009
url https://doaj.org/article/e5776eb311344e409cf46c8bcc491b58
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AT hiroshikunikata centralretinalarteryocclusionfollowingsevereblowoutfractureinyoungadult
AT takaakiotomo centralretinalarteryocclusionfollowingsevereblowoutfractureinyoungadult
AT nobuofuse centralretinalarteryocclusionfollowingsevereblowoutfractureinyoungadult
AT kohjinishida centralretinalarteryocclusionfollowingsevereblowoutfractureinyoungadult
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