A Case of Left Ophthalmic Artery Occlusion and Right Carotid Cavernous Fistula after Illegal Rhinoplasty.

Jee, Dong Hyun; Lee, Kyoo Il

Original Article

Journal of the Korean Ophthalmological Society 2002;43(5):898-904.
Published online May 1, 2002.

A Case of Left Ophthalmic Artery Occlusion and Right Carotid Cavernous Fistula after Illegal Rhinoplasty.

Department of Ophthalmology, Taejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea. KILee@djsungmo.com

무면허 융비술 후 발생한 안동맥폐쇄와 경동맥해면정맥동루

지동현 ( Dong Hyun Jee ) , 이규일 ( Kyoo Il Lee )

Abstract

PURPOSE
In spite of appropriate management, ophthalmic artery occlusion has a poor prognosis and eventually progresses to the blindness or phthisis bulbi. We report one unusual cause of ophthalmic artery occlusion for the preventive purpose. METHODS: A 44 year-old woman visited emergency room with an acute visual loss in the left eye and right hemiplegia. She had undergone illegal augmentation rhinoplasty using liquid silicone one day prior to the presentation. RESULTS: Angiogram showed that injected liquid silicone entered the systemic circulation via nasal vein and induced the left cerebral infarction and left ophthalmic artery occlusion. On the 30th hospital day, right carotid cavernous fistula was developed with right ocular pain.

Key Words: Augmentation rhinoplasty;Carotid cavernous fistula;Ophthalmic artery occlusion