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Central Retinal Artery Occlusion Following Forehead Injection with a Corticosteroid Suspension
Author(s) -
Edwards Albert O.
Publication year - 2008
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/j.1525-1470.2008.00723.x
Subject(s) - medicine , forehead , ophthalmic artery , embolization , central retinal artery occlusion , retinal artery occlusion , corticosteroid , surgery , blindness , central retinal artery , branch retinal artery occlusion , lesion , retinal , occlusion , ophthalmology , radiology , fluorescein angiography , optometry , blood flow
Intralesional injection of corticosteroid suspensions into or adjacent to the ocular adnexa is performed by a number of medical specialists including dermatologists. Although not widely known outside of the ophthalmic community, these injections can lead to blindness through embolization of the central retinal artery. A case of blindness following injection into the forehead lesion of a child with the rare dermatologic condition pyogenic arthritis and pyodermic gangrenosum syndrome is reported. Injection into or near the ocular adnexa may be performed in small boluses to reduce the chance of retinal embolization following entry into the arterial system.