2. Brown GC, Magargal LE. Central retinal artery obstruction and visual acuity. Ophthalmology. 1982;89:14-19.
3. Jarrett WH, Gutman FA. Ocular complications of infection in the paranasal sinuses. Arch Ophthalmol. 1969;81:683-688.
4. Chen CS, Lee AW. Management of acute central retinal artery occlusion. Nat Clin Pract Neurol. 2008;4:376-383.
5. Hayreh SS, Podhajsky P. Ocular neovascularization with retinal vascular occlusion. II. Occurrence in central and branch retinal artery occlusion. Arch Ophthalmol. 1982;100:1585-1596.
6. Buus DR, Tse DT, Farris BK. Ophthalmic complications of sinus surgery. Ophthalmology. 1990;97:612-619.
7. Montgomery W, Singer M, Hamaker R. Surgical Treatment of Sinus Infections. Diseases of the Nose, Throat, Ear, Head and Neck. Philadelphia: Lea & Febiger; 1985:224-242.
8. Griffiths JD, Smith B. Optic atrophy following Caldwell-Luc procedure. Arch Ophthalmol. 1975;86:15-18.
9. Hayreh SS, Piegors DJ, Heistad DD. Serotonin-induced constriction of ocular arteries in atherosclerotic monkeys. Implications for ischemic disorders of the retina and optic nerve head. Arch Ophthalmol. 1997;115:220-228.
10. El-Sayed Y, Al-Muhaimeid H. Acute visual loss in association with sinusitis. J Laryngol Otol. 1993;107:840-842.
11. Slavin ML, Glaser J. Acute severe irreversible visual loss with sphenoethmoiditis ‘posterior’ orbital cellulitis. Arch Ophthalmol. 1987;105:345-348.
12. Hayreh SS, Kolder HE, Weingeist TA. Central retinal artery occlusion and retinal tolerance time. Ophthalmology. 1980;87:75-78.
- Abstract viewed - 102 times
- 454 PDF downloaded - 34 times
This work is licensed under a Creative Commons Attribution 4.0 International License.
© Deepti Mahajan, 2020
Senior resident ophthalmology
Assistant Professor ,Ophthalmology
Professor and Head ,Ophthalmology
How to Cite
Orbital cellulitis following Caldwell Luc procedure for maxillary sinusitis leading to a rare complication of central retinal artery occlusion
Vol 17 No 1 (2019): Asian Journal of Ophthalmology
Submitted: May 17, 2017
Published: Jan 17, 2020
Posterior orbital cellulitis is a clinical syndrome in which early severe visual loss overshadows or precedes accompanying inflammatory orbital signs. It is an ocular emergency that can threaten life and vision. Central retinal artery occlusion (CRAO) is a very rare condition leading to sudden onset of decreased vision and can even progress to blindness. We report a case of orbital cellulitis following Caldwell Luc surgery in a middle-aged diabetic woman, resulting in the rare complication of CRAO, leading to blindness in her right eye. The development of retinal artery occlusion after orbital cellulitis has not been well documented in literature. A quick diagnosis and close monitoring following sinus surgery is therefore needed to prevent such rare complications to happen.