Central retinal artery occlusion in the case of traumatic  orbital cellulitis

Yusuf KOÇLUK; Nedime ŞAHİNOĞLU KEŞKEK; Emine SUKGEN ALYAMAÇ; Fathia HAMAD; Savaş ÇETİNKAYA; Selim CEVHER

doi:10.5578/gmj.32158

Authors

Yusuf KOÇLUK Clinic of Eye, Adana Numune Training and Research Hospital, Adana
Nedime ŞAHİNOĞLU KEŞKEK Clinic of Eye, Adana Numune Training and Research Hospital, Adana
Emine SUKGEN ALYAMAÇ Clinic of Eye, Adana Numune Training and Research Hospital, Adana
Fathia HAMAD Clinic of Eye, Adana Numune Training and Research Hospital, Adana
Savaş ÇETİNKAYA Clinic of Eye, Adana Numune Training and Research Hospital, Adana
Selim CEVHER Clinic of Eye, Adana Numune Training and Research Hospital, Adana

DOI:

https://doi.org/10.5578/gmj.32158

Keywords:

Orbital cellulitis, central retinal artery occlusion, ocular surface trauma

Abstract

Vision can be lost after orbital infection as a result of optic nerve atrophy, central retinal artery occlusion (CRAO). We report such a case. We present a case report CRAO secondary to periorbital cellulitis. A 52-years-old male patient attended our clinic with left upper eyelid edema, hyperaemia, pain and visual loss. History revealed that he had an ocular surface trauma with cement to his left eye 7 days before. Fundus examination showed patchy filling of the branches of the central retinal artery, retinal opacification at the posterior pole and cherry red spot at the macula. His left visual acuity was declined to no perception of light. There was no clinical improvement after 7 days teatment. Orbital cellulitis did not respond to all treatment and magnetik resonance imaging demonstrated subperiosteal abscess at the posterior-superior orbital wall. We report a case of orbital cellulitis following an ocular surface trauma resulting in the rare complication of central retinal artery occlusion.

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