BRIEF COMMUNICATION |
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Year : 2019 | Volume
: 7
| Issue : 3 | Page : 124-126 |
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Successful management of central retinal artery occlusion and optic nerve injury postendoscopic sinus surgery with combined hyperbaric oxygen and intravenous steroids
Ramesh Murthy1, Nikhil Beke1, Aratee Palsule1, Manisha Deshmukh2
1 Department of Ophthalmology, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India 2 Department of Internal Medicine, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India
Correspondence Address:
Ramesh Murthy Axis Eye Clinic, Kumar Millenium, Shivteerth Nagar, Paud Road, Kothrud, Pune - 411 038, Maharashtra India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jcor.jcor_55_18
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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
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