Potential blindness: an unusual complication of lateral canthopexy.
Lateral canthopexy is a commonly performed procedure in craniofacial and cosmetic surgery. In craniofacial surgery, lateral canthal fixation is performed in conjunction with a wide range of transcranial or subcranial procedures during the process of soft tissue re-suspension. A number of fixation materials have gained popular use. A case of craniofrontonasal dysplasia is reported in which a wire loop canthopexy fixation has become disengaged 3 months after a history of trauma and rotated to present a sharp surface against the sclera. Urgent surgical exploration prevented the apparently imminent complication of globe penetration with associated threat to vision.
Britto
Jonathan A
JA
Centre for Craniofacial Care and Research, Hospital for Sick Children, 555 University Avenue, Toronto, Ont., Canada M5G 1X8. j.britto@doctors.org.uk
Buncic
Raymond
R
Lapid
Oren
O
Phillips
John H
JH
D001766:Blindness / Q000209:etiology*; D002648:Child; D019465:Craniofacial Abnormalities / Q000601:surgery*; D004868:Equipment Failure; D005129:Eye Foreign Bodies / Q000000981:diagnostic imaging / Q000209:etiology*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000009:adverse effects* / Q000295:instrumentation; D013537:Sutures / Q000009:adverse effects; D014057:Tomography, X-Ray Computed