Korean J Ophthalmol.  2000 Dec;14(2):107-111. 10.3341/kjo.2000.14.2.107.

Two cases of orbital infarction syndrome

• Yang SW
• Kim SY
• Chung J
• Kim KB

• KMID: 754284
• DOI: http://doi.org/10.3341/kjo.2000.14.2.107

Abstract

Orbital infarction syndrome is defined as ischemia of all intraorbital and intraocular structures. It is a rare disease caused by rich anastomotic vascularization of the orbit. It can occur secondary to different conditions, such as, acute perfusion failure, systemic vasculitis, orbital cellulitis and vasculitis. It results in orbital and ocular pain, total ophthalmoplegia, anterior and posterior segment ischemia, and acute blindness. We report here upon two cases of orbital infarction with similar presentations but with different causes, namely, mucormycosis and as a postoperative complication of intracranial aneurysm, discuss the possible mechanisms of orbital infarction, and present a review of the literature on the topic. The prompt recognition of clinical pictures and rapid diagnosis is essential for the early treatment of orbital infarction, since its progression is very rapid and it can be even fatal.

MeSH Terms

Adult
Case Report
Electroretinography
Female
Human
Infarction/pathology
Infarction/etiology+ACo-
Intracranial Aneurysm/complications
Magnetic Resonance Imaging
Male
Middle Age
Mucormycosis/complications
Orbit/blood supply+ACo-
Paranasal Sinus Diseases/complications
Postoperative Complications
Retina/physiology
Syndrome