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Published on: June 12, 2012
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OCCULT GLOBE PERFORATION DURING MEDIAL CANTHOPEXY
Deepa Manjunath1, Peter K Kaiser, Justis P Ehlers
1Ophthalmic Imaging Center, Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio.
Retinal Cases & Brief Reports
|December 9, 2016
Summary
Occult globe perforation following craniofacial surgery can cause vision loss. Prompt recognition and treatment of retinal breaks led to excellent vision recovery in this case.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Craniofacial Surgery
Background:
- Craniofacial surgery, including procedures like bilateral medial canthopexy, carries a risk of ocular complications.
- Postoperative vision loss after craniofacial surgery necessitates a thorough ophthalmological evaluation.
Observation:
- A 16-year-old female experienced vision loss and hypotony in her left eye after craniofacial surgery.
- Initial surgical exploration did not reveal obvious globe perforation, but ultrasound showed serous choroidal and retinal detachments.
Findings:
- Two retinal breaks were identified in the periphery of the globe.
- Laser retinopexy was successfully performed on the identified retinal breaks.
- The patient's intraocular pressure improved, leading to the resolution of choroidal detachments.
Implications:
- This case highlights the importance of considering occult globe perforation in postoperative vision loss after craniofacial procedures.
- Early diagnosis and intervention, including prompt ophthalmological consultation and targeted treatment like laser retinopexy, are crucial for favorable visual outcomes.
- High suspicion for globe injury is essential for timely management in patients with unexplained vision loss post-craniofacial surgery.
