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Bilateral Orbital Infarction Syndrome After Bifrontal Craniotomy
Philip Maier, MD;
Nicolas Feltgen, MD;
Wolf A. Lagrèze, MD
Arch Ophthalmol. 2007;125(3):422-423.
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Orbital infarction syndrome is a rare disorder resulting from occlusion of the ophthalmic artery and its branches. We report a case of bilateral orbital infarction syndrome after frontobasal skull repair.
Report of a Case
A 24-year-old man experienced multiple cranial fractures leading to brain contusion and free intracranial air after a motor vehicle crash. Because of persisting rhinoliquorrhea 3 months later, the endocranium was sealed. Preoperative visual acuity was 20/20 OU. After bicoronal skin incisions, a dermal and a galea-periostal flap were dissected to the supraorbital rim without wrapping them in gauze. Both flaps were retracted inferiorly while resting on the patient's eyes. During the procedure, the patient's heartbeat stopped for a few seconds; it was corrected with 0.5 mg of atropine. One hour after extubation, the patient complained about reduced vision. Immediate ophthalmologic examination revealed recognition of hand movements, normal intraocular pressures, conjunctival . . . [Full Text of this Article] Comment
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RELATED LETTERS
Bilateral Orbital Infarction, Ophthalmic Artery Occlusion, and Cherry-red Spot
Thomas J. Federici
Arch Ophthalmol. 2007;125(10):1441.
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Bilateral Orbital Infarction, Ophthalmic Artery Occlusion, and Cherry-red Spot—Reply
Philip Maier, Nicolas Feltgen, and Wolf Lagrèze
Arch Ophthalmol. 2007;125(10):1441-1442.
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| FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Bilateral Orbital Infarction, Ophthalmic Artery Occlusion, and Cherry-red Spot
Federici
Arch Ophthalmol 2007;125:1441-1441.
FULL TEXT
Bilateral Orbital Infarction, Ophthalmic Artery Occlusion, and Cherry-red Spot Reply
Maier et al.
Arch Ophthalmol 2007;125:1441-1442.
FULL TEXT
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