Central retinal and posterior ciliary artery occlusion after intralesional injection of sclerosant to glabellar subcutaneous hemangioma

Toshihiko Matsuo, Hiroyasu Fujiwara, Hideo Gobara, Hidefumi Mimura, Susumu Kanazawa

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The aim of this study is to describe vision loss caused by central retinal artery and posterior ciliary artery occlusion as a consequence of sclerotherapy with a polidocanol injection to a glabellar hemangioma. An 18-year-old man underwent direct injection with a 23-gauge needle of 1 mL of a polidocanol-carbon dioxide emulsion into the glabellar subcutaneous hemangioma under ultrasound visualization of the needle tip by radiologists. He developed lid swelling the next day, and 3 days later at referral, the visual acuity in the left eye was no light perception. Funduscopy revealed central retinal artery occlusion and fluorescein angiography disclosed no perfusion at all in the left fundus, indicating concurrent posterior ciliary artery occlusion. The patient also showed mydriasis, blepharoptosis, and total external ophthalmoplegia on the left side. Magnetic resonance imaging demonstrated the swollen medial rectus muscle. In a month, blepharoptosis and ophthalmoplegia resolved but the visual acuity remained no light perception. Sclerosing therapy for facial hemangioma may develop a severe complication such as permanent visual loss.

Original languageEnglish
Pages (from-to)341-346
Number of pages6
JournalCardioVascular and Interventional Radiology
Volume32
Issue number2
DOIs
Publication statusPublished - Mar 2009

Fingerprint

Ciliary Arteries
Intralesional Injections
Sclerosing Solutions
Hemangioma
Blepharoptosis
Ophthalmoplegia
Visual Acuity
Needles
Retinal Artery Occlusion
Mydriasis
Retinal Artery
Light
Injections
Sclerotherapy
Fluorescein Angiography
Emulsions
Carbon Dioxide
Referral and Consultation
Perfusion
Magnetic Resonance Imaging

Keywords

  • Central retinal artery occlusion
  • Facial (glabellar) hemangioma
  • Polidocanol
  • Posterior ciliary artery occlusion
  • Sclerosant
  • Sclerosing therapy
  • Sclerotherapy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

@article{8e3d790da34a4998b8a7922ca9d08a03,
title = "Central retinal and posterior ciliary artery occlusion after intralesional injection of sclerosant to glabellar subcutaneous hemangioma",
abstract = "The aim of this study is to describe vision loss caused by central retinal artery and posterior ciliary artery occlusion as a consequence of sclerotherapy with a polidocanol injection to a glabellar hemangioma. An 18-year-old man underwent direct injection with a 23-gauge needle of 1 mL of a polidocanol-carbon dioxide emulsion into the glabellar subcutaneous hemangioma under ultrasound visualization of the needle tip by radiologists. He developed lid swelling the next day, and 3 days later at referral, the visual acuity in the left eye was no light perception. Funduscopy revealed central retinal artery occlusion and fluorescein angiography disclosed no perfusion at all in the left fundus, indicating concurrent posterior ciliary artery occlusion. The patient also showed mydriasis, blepharoptosis, and total external ophthalmoplegia on the left side. Magnetic resonance imaging demonstrated the swollen medial rectus muscle. In a month, blepharoptosis and ophthalmoplegia resolved but the visual acuity remained no light perception. Sclerosing therapy for facial hemangioma may develop a severe complication such as permanent visual loss.",
keywords = "Central retinal artery occlusion, Facial (glabellar) hemangioma, Polidocanol, Posterior ciliary artery occlusion, Sclerosant, Sclerosing therapy, Sclerotherapy",
author = "Toshihiko Matsuo and Hiroyasu Fujiwara and Hideo Gobara and Hidefumi Mimura and Susumu Kanazawa",
year = "2009",
month = "3",
doi = "10.1007/s00270-008-9382-9",
language = "English",
volume = "32",
pages = "341--346",
journal = "CardioVascular and Interventional Radiology",
issn = "7415-5101",
publisher = "Springer Verlag",
number = "2",

}

TY - JOUR

T1 - Central retinal and posterior ciliary artery occlusion after intralesional injection of sclerosant to glabellar subcutaneous hemangioma

AU - Matsuo, Toshihiko

AU - Fujiwara, Hiroyasu

AU - Gobara, Hideo

AU - Mimura, Hidefumi

AU - Kanazawa, Susumu

PY - 2009/3

Y1 - 2009/3

N2 - The aim of this study is to describe vision loss caused by central retinal artery and posterior ciliary artery occlusion as a consequence of sclerotherapy with a polidocanol injection to a glabellar hemangioma. An 18-year-old man underwent direct injection with a 23-gauge needle of 1 mL of a polidocanol-carbon dioxide emulsion into the glabellar subcutaneous hemangioma under ultrasound visualization of the needle tip by radiologists. He developed lid swelling the next day, and 3 days later at referral, the visual acuity in the left eye was no light perception. Funduscopy revealed central retinal artery occlusion and fluorescein angiography disclosed no perfusion at all in the left fundus, indicating concurrent posterior ciliary artery occlusion. The patient also showed mydriasis, blepharoptosis, and total external ophthalmoplegia on the left side. Magnetic resonance imaging demonstrated the swollen medial rectus muscle. In a month, blepharoptosis and ophthalmoplegia resolved but the visual acuity remained no light perception. Sclerosing therapy for facial hemangioma may develop a severe complication such as permanent visual loss.

AB - The aim of this study is to describe vision loss caused by central retinal artery and posterior ciliary artery occlusion as a consequence of sclerotherapy with a polidocanol injection to a glabellar hemangioma. An 18-year-old man underwent direct injection with a 23-gauge needle of 1 mL of a polidocanol-carbon dioxide emulsion into the glabellar subcutaneous hemangioma under ultrasound visualization of the needle tip by radiologists. He developed lid swelling the next day, and 3 days later at referral, the visual acuity in the left eye was no light perception. Funduscopy revealed central retinal artery occlusion and fluorescein angiography disclosed no perfusion at all in the left fundus, indicating concurrent posterior ciliary artery occlusion. The patient also showed mydriasis, blepharoptosis, and total external ophthalmoplegia on the left side. Magnetic resonance imaging demonstrated the swollen medial rectus muscle. In a month, blepharoptosis and ophthalmoplegia resolved but the visual acuity remained no light perception. Sclerosing therapy for facial hemangioma may develop a severe complication such as permanent visual loss.

KW - Central retinal artery occlusion

KW - Facial (glabellar) hemangioma

KW - Polidocanol

KW - Posterior ciliary artery occlusion

KW - Sclerosant

KW - Sclerosing therapy

KW - Sclerotherapy

UR - http://www.scopus.com/inward/record.url?scp=67649130063&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67649130063&partnerID=8YFLogxK

U2 - 10.1007/s00270-008-9382-9

DO - 10.1007/s00270-008-9382-9

M3 - Article

C2 - 18566860

AN - SCOPUS:67649130063

VL - 32

SP - 341

EP - 346

JO - CardioVascular and Interventional Radiology

JF - CardioVascular and Interventional Radiology

SN - 7415-5101

IS - 2

ER -