Anterior Ischemic Optic Neuropathy After Combined Ophthalmic Artery Embolization and Craniofacial Surgery —Case Report—

Mohammad JAMOUS; Koichi SATOH; Teruyoshi KAGEJI; Junichiro SATOMI; Shunji MATSUBARA; Shinji NAGAHIRO; Masakazu HAYASHI; Shinichi NAKAGAWA

doi:10.2176/nmc.41.419

Case Reports

Anterior Ischemic Optic Neuropathy After Combined Ophthalmic Artery Embolization and Craniofacial Surgery

—Case Report—

Mohammad JAMOUS, Koichi SATOH, Teruyoshi KAGEJI, Junichiro SATOMI, Shunji MATSUBARA, Shinji NAGAHIRO, Masakazu HAYASHI, Shinichi NAKAGAWA

Author information

Mohammad JAMOUS
Department of Neurological Surgery, School of Medicine, The University of Tokushima
Koichi SATOH
Department of Neurological Surgery, School of Medicine, The University of Tokushima
Teruyoshi KAGEJI
Department of Neurological Surgery, School of Medicine, The University of Tokushima
Junichiro SATOMI
Department of Neurological Surgery, School of Medicine, The University of Tokushima
Shunji MATSUBARA
Department of Neurological Surgery, School of Medicine, The University of Tokushima
Shinji NAGAHIRO
Department of Neurological Surgery, School of Medicine, The University of Tokushima
Masakazu HAYASHI
Department of Ophthalmology, School of Medicine, The University of Tokushima
Shinichi NAKAGAWA
Department of Otorhinolaryngology, School of Medicine, The University of Tokushima

Keywords: anterior ischemic optic neuropathy, ophthalmic artery embolization, platinum coil, fluorescein angiography, posterior ciliary artery

JOURNAL OPEN ACCESS

2001 Volume 41 Issue 8 Pages 419-422

DOI https://doi.org/10.2176/nmc.41.419

Details

Abstract

A 57-year-old man developed visual loss following craniofacial surgery for an inflammatory ethmoidal sinus mass. Surgery was preceded by endovascular occlusion of the ophthalmic artery distal to central retinal artery (CRA). Routine angiography obtained immediately after endovascular ophthalmic artery occlusion showed patency of the CRA. He complained of visual loss one day after craniofacial surgery (2 days after embolization). Repeat emergency angiography confirmed the patent CRA. Ophthalmic examination and fluorescein angiography showed that the visual loss was due to anterior ischemic optic neuropathy (AION). Preservation of the CRA is critical during ophthalmic artery embolization to avoid visual complications. Neurosurgeons should be aware of the possibility of AION as a complication of ophthalmic artery embolization.

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