| CASE REPORT |
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| Year : 2021 | Volume
: 1
| Issue : 2 | Page : 383-385 |
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Ophthalmic artery occlusion due to orbital compartment syndrome after a frontotemporal craniotomy
Lauren DeMaria1, Ann Q Tran2, Andrea Tooley2, Aliaa Abdelhakim3, Irina Belinsky1, Eleanore Kim1
1 Department of Ophthalmology, New York University, New York, NY, USA
2 Department of Ophthalmology, New York University; Department of Ophthalmology, Manhattan Eye, Ear, and Throat Hospital, Northwell Health, New York, NY, USA
3 Department of Ophthalmology, New York University; Department of Ophthalmology, Columbia University, New York, NY, USA
Correspondence Address:
Dr. Lauren DeMaria
New York University, 222 East 41st Street, 3rd Floor, New York, NY - 10017
USA
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_1982_20
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A 32-year-old female with a right frontal lobe glioma underwent an elective frontotemporal craniotomy. One hour postoperatively, the patient developed a right orbital compartment syndrome (OCS) with unilateral acute vision loss, proptosis, afferent pupillary defect, and complete ophthalmoplegia. The patient underwent emergent lateral canthotomy and inferior cantholysis. Neuroimaging revealed extensive vascular congestion along the extraocular muscles at the orbital apex. Retinal imaging demonstrated an ophthalmic artery occlusion. OCS following a frontal or frontotemporal craniotomy relates to increased orbital venous congestion from direct compression of the myocutaneous flap and subsequent intraorbital pressure elevation, vascular compromise, and ocular ischemia.
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