Orbital compression syndrome after orbital extravasation of X-ray contrast material.
OBJECTIVE
To report the orbital compression syndrome after orbital extravasation of x-ray contrast material during catheterization of the left middle meningeal artery.


METHODS
Case report.


RESULTS
A 61-year-old woman had profound loss of vision, pain, and proptosis of her left eye immediately after catheterization of the left middle meningeal artery. Computed tomography (CT) revealed that contrast material had extravasated into the orbit. Her symptoms improved with lateral canthotomy and cantholysis and resolved totally within 24 hours without the need for an orbital surgical procedure to remove the contrast material.


CONCLUSIONS
This report describes an unusual cause of the orbital compression syndrome.
Gerber
S L
SL
Bluth & Gerber Eye Care Center, Memorial Hospital of South Bend, South Bend, Indiana, USA. eyeballs@compuserve.com
Duprat
G
G
D003161:Compartment Syndromes / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D003287:Contrast Media; D005094:Exophthalmos / Q000000981:diagnostic imaging / Q000209:etiology; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005143:Eyelids / Q000601:surgery; D005260:Female; D006801:Humans; D007485:Ioxaglic Acid; D008875:Middle Aged; D009916:Orbital Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D010146:Pain / Q000175:diagnosis / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000175:diagnosis / Q000209:etiology; D014792:Visual Acuity
D003287:Contrast Media; D007485:Ioxaglic Acid