title: Iatrogenic cerebrospinal fluid oculorrhea.
abstract: Cerebrospinal fluid leakage into the orbit (CSF orbitorrhea) or through the orbit to the exterior (CSF oculorrhea) occurs when there is a communication between orbit and subarachnoid space. It has rarely been described. We report a case of CSF oculorrhea following surgery for recurrent sphenoid wing meningioma. A 67-year-old patient who underwent craniotomy for a recurrent sphenoid wing meningioma complained of tearing from the ipsilateral eye. Fluid collection was observed in the right periorbital area contiguous with craniotomy wound. With wide retraction of eyelids, a 1-cm longitudinal full-thickness laceration through the conjunctiva toward the lateral orbital rim was visualized in the area of the lateral canthal tendon. Steady leakage of pink-tinged serous fluid through the forniceal laceration was observed. With a presumed diagnosis of iatrogenic CSF oculorrhea, the patient was treated conservatively with resolution by postoperative day 6.
authors: From the *Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea; †Department of Ophthalmology, University of California, San Francisco, California; and ‡Department of Ophthalmology, Selcuk University, Konya, Turkey.
authors: Mijung
authors: M
authors: Chi
authors: H Jane
authors: HJ
authors: Kim
authors: Bengu E
authors: BE
authors: Koktekir
authors: Reza
authors: R
authors: Vagefi
authors: Robert C
authors: RC
authors: Kersten
mesh_terms: D000368:Aged; D065634:Cerebrospinal Fluid Leak / Q000209:etiology*; D003399:Craniotomy / Q000009:adverse effects*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D011183:Postoperative Complications; D014786:Vision Disorders / Q000209:etiology*