Compressive optic neuropathy following use of intracranial oxidized cellulose hemostat

J. J. Dutton, David Tse, R. L. Anderson

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

A 35-year-old white male sustained head injuries in a motor vehicle accident. He underwent neurosurgical repair of a frontotemporal skull fracture and lacerated left frontal lobe; regenerated oxidized cellulose (Surgicel) was placed into the anterior cranial fossa for hemostasis. Forty-eight hours after surgery he suffered rapid deterioration of vision to no light perception from optic nerve compression. Radiologic and echographic evaluation demonstrated a subperiosteal soft tissue density in the orbital apex consistent with hematoma. At surgery for optic canal decompression, the cellulose hemostat was found in the apex of the left orbit, having migrated through orbital roof fractures, and had apparently caused the compressive optic neuropathy. Decompression resulted in return of vision to the level of counting fingers.

Original languageEnglish
Pages (from-to)487-490
Number of pages4
JournalOphthalmic Surgery
Volume14
Issue number6
StatePublished - Dec 1 1983
Externally publishedYes

Fingerprint

oxidized cellulose
Optic Nerve Diseases
Decompression
Anterior Cranial Fossa
Orbital Fractures
Skull Fractures
Frontal Lobe
Motor Vehicles
Orbit
Optic Nerve
Hemostasis
Craniocerebral Trauma
Cellulose
Hematoma
Fingers
Accidents
Light

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Compressive optic neuropathy following use of intracranial oxidized cellulose hemostat. / Dutton, J. J.; Tse, David; Anderson, R. L.

In: Ophthalmic Surgery, Vol. 14, No. 6, 01.12.1983, p. 487-490.

Research output: Contribution to journalArticle

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