title: Central retinal artery occlusion following orbital tumor resection: Is rapid intervention effective?
abstract: A 52-year-old male patient presented at our hospital with unilateral proptosis and vision loss in his left eye. Imaging evaluations showed orbital tumor, so the patient underwent surgery. About an hour later after tumor removal, patient developed sudden vision loss and became no light perception. Fundus evaluation revealed central retinal artery occlusion (CRAO). The patient was treated immediately with ocular massage and anterior chamber paracentesis as well as systemic therapy with mannitol and intravenous administration of acetazolamide. After thirty minutes, he recovered perception to light and then hand motion and 2 h later, it was improved to 1 m counting finger. CRAO following orbital tumor has not been reported before. We recommend ocular examination in all patients that undergo orbital surgery immediately to 2-3 h after surgery.
authors.forename: Mohammad Taher
authors.initials: MT
authors.lastname: Rajabi
authors.affiliation: Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Naderan
authors.forename: Seyed Ziaeddin Tabatabaei
authors.initials: SZ
authors.lastname: Mohammadi
authors.forename: Mohammad Bagher
authors.initials: MB
authors.lastname: Rajabi
mesh_terms: D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D008875:Middle Aged; D009442:Neurilemmoma / Q000175:diagnosis / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D009918:Orbital Neoplasms / Q000175:diagnosis / Q000601:surgery*; D015356:Retinal Artery Occlusion / Q000175:diagnosis / Q000209:etiology*; D014792:Visual Acuity