J Korean Ophthalmol Soc.
2002 May;43(5):898-904.
A Case of Left Ophthalmic Artery Occlusion and Right Carotid Cavernous Fistula after Illegal Rhinoplasty
- Affiliations
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- 1Department of Ophthalmology, Taejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea. KILee@djsungmo.com
Abstract
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PURPOSE: In spite of appropriate management, ophthalmic artery occlusion has a poor prognosis and eventually progresses to the blindness or phthisis bulbi. We report one unusual cause of ophthalmic artery occlusion for the preventive purpose.
METHODS
A 44 year-old woman visited emergency room with an acute visual loss in the left eye and right hemiplegia. She had undergone illegal augmentation rhinoplasty using liquid silicone one day prior to the presentation.
RESULTS
Angiogram showed that injected liquid silicone entered the systemic circulation via nasal vein and induced the left cerebral infarction and left ophthalmic artery occlusion. On the 30th hospital day, right carotid cavernous fistula was developed with right ocular pain.
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