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Type presentatieE-poster
TitelPosterior ciliary arterial system occlusion after treatment for epistaxis
DoelTo report a case of iatrogenic cilioretinal artery occlusion and choroidal ischemia after embolization of the sphenopalatine artery.
MethodesA 58-year-old man was referred for a severe visual loss in the left eye at awakening from general anaesthesia. He had undergone a selective embolization of the left sphenopalatine
artery with 300-500 ym EmboGold® Microspheres for an idiopathic refractory posterior epistaxis.
ResultatenFundus examination showed a pale edema in the inter-papillo-macular area, sign of cilioretinal artery occlusion in the left eye. Fluorescein angiography revealed delayed cilioretinal artery perfusion and extensive areas of choroidal hypoperfusion. A variable number of anastomoses exist between branches of the internal and external carotid arteries carrying a risk of neurological accidents during embolization when embolic material inadvertently enters the internal carotid artery or its first collateral branch, the ophthalmic artery.
ConclusieThis case shows that posterior ciliary arterial system occlusion combining cilioretinal
artery occlusion and choroidal hypoperfusion, can occur as complication of epistaxis treatment. Ophthalmologists and otorhinolaryngologists need to be aware of the risk of this rare but possible complication.
BelangenverstrengelingNee
Details verstrengelde belangen/
Auteur 1
NaamLEDOUX
InitialenP
InstituutCHU UCL Namur
StadYvoir
Auteur 2
NaamATES
InitialenE
InstituutCHU UCL Namur
StadYvoir
Auteur 3
NaamBUGHIN
InitialenA
InstituutCHU UCL Namur
StadYvoir
Auteur 4
NaamLEVECQ
InitialenL
InstituutCHU UCL Namur
StadYvoir
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