Compressive optic neuropathy after use of oxidized regenerated cellulose in orbital surgery : Review of complications, prophylaxis, and treatment
We report 2 cases of compressive optic neuropathy after use of oxidized regenerated cellulose (ORC) in orbital surgery. To our knowledge, no complications have been reported previously after use of this material in orbital surgery. We also review the complications related to its retention at operati...
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| Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 2006-02, Vol.113 (2), p.333-337 |
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| creator | YONCA OZKAN ARAT DOROTHEO, E. Ulysses TANG, Rosa A BONIUK, Milton SCHIFFMAN, Jade S |
| description | We report 2 cases of compressive optic neuropathy after use of oxidized regenerated cellulose (ORC) in orbital surgery. To our knowledge, no complications have been reported previously after use of this material in orbital surgery. We also review the complications related to its retention at operative sites outside the orbit and recommend precautions to avoid them.
Retrospective interventional case reports.
Two patients with compressive optic neuropathy after use of ORC in orbital surgery.
Case reports from 2 different clinics and review of the English scientific literature.
Best-corrected visual acuity, extraocular motility, proptosis, and chemosis.
One patient underwent orbital exploration and biopsy of an orbital tumor, and the second had repair of an orbital floor fracture. Postoperatively, both presented with chemosis, ophthalmoplegia, and progressive loss of vision. Orbital imaging revealed a retrobulbar soft-tissue density compatible with hematoma. Repeat orbital exploration revealed the soft-tissue mass to be swollen ORC.
Retained intraorbital ORC may cause a compartment syndrome and should be suspected in postoperative patients with orbital symptoms. When ORC is used around the optic nerve, it should be removed after hemostasis is achieved. |
| doi_str_mv | 10.1016/j.ophtha.2005.11.003 |
| format | Article |
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Retrospective interventional case reports.
Two patients with compressive optic neuropathy after use of ORC in orbital surgery.
Case reports from 2 different clinics and review of the English scientific literature.
Best-corrected visual acuity, extraocular motility, proptosis, and chemosis.
One patient underwent orbital exploration and biopsy of an orbital tumor, and the second had repair of an orbital floor fracture. Postoperatively, both presented with chemosis, ophthalmoplegia, and progressive loss of vision. Orbital imaging revealed a retrobulbar soft-tissue density compatible with hematoma. Repeat orbital exploration revealed the soft-tissue mass to be swollen ORC.
Retained intraorbital ORC may cause a compartment syndrome and should be suspected in postoperative patients with orbital symptoms. When ORC is used around the optic nerve, it should be removed after hemostasis is achieved.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/j.ophtha.2005.11.003</identifier><identifier>PMID: 16406540</identifier><identifier>CODEN: OPHTDG</identifier><language>eng</language><publisher>New York, NY: Elsevier</publisher><subject>Adolescent ; Aged ; Biological and medical sciences ; Cellulose, Oxidized - adverse effects ; Diseases of visual field, optic nerve, optic chiasma and optic tracts ; Exophthalmos - diagnosis ; Exophthalmos - etiology ; Eye Foreign Bodies - complications ; Eye Foreign Bodies - diagnosis ; Eye Foreign Bodies - surgery ; Female ; Hematoma - diagnosis ; Hematoma - etiology ; Hematoma - surgery ; Humans ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Miscellaneous ; Nerve Compression Syndromes - diagnosis ; Nerve Compression Syndromes - etiology ; Nerve Compression Syndromes - surgery ; Ophthalmology ; Ophthalmoplegia - diagnosis ; Ophthalmoplegia - etiology ; Optic Nerve Diseases - diagnosis ; Optic Nerve Diseases - etiology ; Optic Nerve Diseases - surgery ; Orbital Fractures - surgery ; Orbital Neoplasms - surgery ; Retrospective Studies ; Vision Disorders - diagnosis ; Vision Disorders - etiology ; Visual Acuity</subject><ispartof>Ophthalmology (Rochester, Minn.), 2006-02, Vol.113 (2), p.333-337</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17473504$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16406540$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>YONCA OZKAN ARAT</creatorcontrib><creatorcontrib>DOROTHEO, E. Ulysses</creatorcontrib><creatorcontrib>TANG, Rosa A</creatorcontrib><creatorcontrib>BONIUK, Milton</creatorcontrib><creatorcontrib>SCHIFFMAN, Jade S</creatorcontrib><title>Compressive optic neuropathy after use of oxidized regenerated cellulose in orbital surgery : Review of complications, prophylaxis, and treatment</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>We report 2 cases of compressive optic neuropathy after use of oxidized regenerated cellulose (ORC) in orbital surgery. To our knowledge, no complications have been reported previously after use of this material in orbital surgery. We also review the complications related to its retention at operative sites outside the orbit and recommend precautions to avoid them.
Retrospective interventional case reports.
Two patients with compressive optic neuropathy after use of ORC in orbital surgery.
Case reports from 2 different clinics and review of the English scientific literature.
Best-corrected visual acuity, extraocular motility, proptosis, and chemosis.
One patient underwent orbital exploration and biopsy of an orbital tumor, and the second had repair of an orbital floor fracture. Postoperatively, both presented with chemosis, ophthalmoplegia, and progressive loss of vision. Orbital imaging revealed a retrobulbar soft-tissue density compatible with hematoma. Repeat orbital exploration revealed the soft-tissue mass to be swollen ORC.
Retained intraorbital ORC may cause a compartment syndrome and should be suspected in postoperative patients with orbital symptoms. When ORC is used around the optic nerve, it should be removed after hemostasis is achieved.</description><subject>Adolescent</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cellulose, Oxidized - adverse effects</subject><subject>Diseases of visual field, optic nerve, optic chiasma and optic tracts</subject><subject>Exophthalmos - diagnosis</subject><subject>Exophthalmos - etiology</subject><subject>Eye Foreign Bodies - complications</subject><subject>Eye Foreign Bodies - diagnosis</subject><subject>Eye Foreign Bodies - surgery</subject><subject>Female</subject><subject>Hematoma - diagnosis</subject><subject>Hematoma - etiology</subject><subject>Hematoma - surgery</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Nerve Compression Syndromes - diagnosis</subject><subject>Nerve Compression Syndromes - etiology</subject><subject>Nerve Compression Syndromes - surgery</subject><subject>Ophthalmology</subject><subject>Ophthalmoplegia - diagnosis</subject><subject>Ophthalmoplegia - etiology</subject><subject>Optic Nerve Diseases - diagnosis</subject><subject>Optic Nerve Diseases - etiology</subject><subject>Optic Nerve Diseases - surgery</subject><subject>Orbital Fractures - surgery</subject><subject>Orbital Neoplasms - surgery</subject><subject>Retrospective Studies</subject><subject>Vision Disorders - diagnosis</subject><subject>Vision Disorders - etiology</subject><subject>Visual Acuity</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkNtO3DAQhq2qVdnSvgFCvilXTWrHp03v0IoeJCQk1F6vJs6YNUri1HaA5S144xp1EVczo_-b-WeGkBPOas64_npbh3mXd1A3jKma85ox8YasuJJtJQ0Xb8mqYLzSsmFH5ENKt4wxrYV8T464lkwryVbkaRPGOWJK_g5pmLO3dMIlhhnybk_BZYx0SUVyNDz43j9iTyPe4IQRcsktDsMyhEL4iYbY-QwDTUu8wbin3-g13nm8f-62xWfwFrIPU_pC52Kx2w_w4EsBU09zRMgjTvkjeedgSPjpEI_Jn-8Xvzc_q8urH78255fV3Ig2V23Huk5qZM5wvl5L09tOa3DKaavAqoZb5YQUzKCRYJzqFGtdI4xU0BvdiGNy9n9uWeXvgilvR5-ez4EJw5K22mjRtGtdwNMDuHQj9ts5-hHifvvyxAJ8PgCQLAwuwmR9euWMNEIxKf4Bj4iGNg</recordid><startdate>20060201</startdate><enddate>20060201</enddate><creator>YONCA OZKAN ARAT</creator><creator>DOROTHEO, E. 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Ulysses</au><au>TANG, Rosa A</au><au>BONIUK, Milton</au><au>SCHIFFMAN, Jade S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Compressive optic neuropathy after use of oxidized regenerated cellulose in orbital surgery : Review of complications, prophylaxis, and treatment</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>2006-02-01</date><risdate>2006</risdate><volume>113</volume><issue>2</issue><spage>333</spage><epage>337</epage><pages>333-337</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><coden>OPHTDG</coden><abstract>We report 2 cases of compressive optic neuropathy after use of oxidized regenerated cellulose (ORC) in orbital surgery. To our knowledge, no complications have been reported previously after use of this material in orbital surgery. We also review the complications related to its retention at operative sites outside the orbit and recommend precautions to avoid them.
Retrospective interventional case reports.
Two patients with compressive optic neuropathy after use of ORC in orbital surgery.
Case reports from 2 different clinics and review of the English scientific literature.
Best-corrected visual acuity, extraocular motility, proptosis, and chemosis.
One patient underwent orbital exploration and biopsy of an orbital tumor, and the second had repair of an orbital floor fracture. Postoperatively, both presented with chemosis, ophthalmoplegia, and progressive loss of vision. Orbital imaging revealed a retrobulbar soft-tissue density compatible with hematoma. Repeat orbital exploration revealed the soft-tissue mass to be swollen ORC.
Retained intraorbital ORC may cause a compartment syndrome and should be suspected in postoperative patients with orbital symptoms. When ORC is used around the optic nerve, it should be removed after hemostasis is achieved.</abstract><cop>New York, NY</cop><pub>Elsevier</pub><pmid>16406540</pmid><doi>10.1016/j.ophtha.2005.11.003</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Aged Biological and medical sciences Cellulose, Oxidized - adverse effects Diseases of visual field, optic nerve, optic chiasma and optic tracts Exophthalmos - diagnosis Exophthalmos - etiology Eye Foreign Bodies - complications Eye Foreign Bodies - diagnosis Eye Foreign Bodies - surgery Female Hematoma - diagnosis Hematoma - etiology Hematoma - surgery Humans Magnetic Resonance Imaging Male Medical sciences Miscellaneous Nerve Compression Syndromes - diagnosis Nerve Compression Syndromes - etiology Nerve Compression Syndromes - surgery Ophthalmology Ophthalmoplegia - diagnosis Ophthalmoplegia - etiology Optic Nerve Diseases - diagnosis Optic Nerve Diseases - etiology Optic Nerve Diseases - surgery Orbital Fractures - surgery Orbital Neoplasms - surgery Retrospective Studies Vision Disorders - diagnosis Vision Disorders - etiology Visual Acuity |
| title | Compressive optic neuropathy after use of oxidized regenerated cellulose in orbital surgery : Review of complications, prophylaxis, and treatment |
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