Successful management of central retinal artery occlusion and optic nerve injury postendoscopic sinus surgery with combined hyperbaric oxygen and intravenous steroids

Abstract

Functional endoscopic sinus surgery, especially ethmoidal surgery, carries a risk of orbital injury because of the close relation between the orbit and the sinuses. For central retinal artery occlusion (CRAO), hyperbaric oxygen therapy has shown good outcome. Intravenous steroids are prescribed for cases of optic nerve injury. We describe a case of combined optic nerve injury and CRAO following endoscopic sinus surgery which was managed successfully with good recovery of vision with multimodal therapy with a combination of intravenous methylprednisolone and hyperbaric oxygen

Keywords

• central retinal artery occlusion
• endoscopic sinus surgery
• hyperbaric oxygen