Open AccessOrbital infarction syndrome after mechanical thrombectomy in acute ischaemic stroke
Author(s) -
Adrián Valls Carbó,
María Gutiérrez Sánchez de la Fuente,
Carlos Pérez-García,
Miguel Ruiz
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-234158
Subject(s) - medicine , ophthalmoparesis , chemosis , internal carotid artery , infarction , ptosis , stroke (engine) , central retinal artery occlusion , surgery , ischemic optic neuropathy , visual acuity , ophthalmic artery , optic nerve , extraocular muscles , ophthalmology , radiology , myocardial infarction , mechanical engineering , blood flow , engineering
Orbital infarction syndrome (OIS) encompasses the ischaemic infarction of all intraorbital and intraocular structures (optic nerve, extraocular muscles and orbital fat) which leads to a painful loss of visual acuity, ophthalmoparesis, chemosis, proptosis and ptosis. The rich anastomotic orbital vascularisation from internal carotid artery (ICA) and external carotid artery makes this disorder a rare cause of visual loss in stroke patients. We describe a case of a woman who suffered an acute occlusion of her right ICA and developed an OIS after mechanical thrombectomy.