Retinal and choroidal vascular occlusion secondary to corticosteroid embolisation.
Authors:
- C M MorganCMC M Morgan
- E BaruhEBE Baruh
- K A GitterKGK A Gitter
Open Access
- 1 January 1989
- journal article
- research article
- Published by BMJ in British Journal of Ophthalmology
- Vol. 73 (1) , 32-34
Abstract
We report a case of visual loss following intranasal injection of triamcinolone acetonide and phenylephrine hydrochloride in a 22-year-old female with chronic sinusitis. Clinical examination and fluorescein angiography revealed vascular occlusions which involved multiple small branches of both the choroidal and retinal circulations. The mechanism of such a complication probably involves inadvertent intra-arterial injection into the anterior or the posterior ethmoidal artery, with retrograde flow into the opthalmic arterial system. Precautions can be taken to avoid such complications.Keywords
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