Article Text

PDF
Iatrogenic central retinal artery occlusion during treatment for epistaxis
  1. P T Ashwin,
  2. S Mirza,
  3. N Ajithkumar,
  4. M D Tsaloumas
  1. Birmingham and Midland Eye Centre, Birmingham, UK
  1. Correspondence to: Mr P T Ashwin Birmingham and Midland Eye Centre, Dudley Road, Birmingham B18 7QH, UK; pammal.ashwin{at}gmail.com

Statistics from Altmetric.com

Maxillary artery embolisation with polyvinyl alcohol (PVA) is a procedure used for the treatment of intractable epistaxis. We report a rare but devastating complication of this otherwise safe and successful procedure.

Case report

A 46-year-old man presented to the accident and emergency department with a 1-day history of left epistaxis. He had had mild infrequent episodes in the past. He had cauterisation of the Little’s area, but as the bleeding persisted, nasal packing was performed and blood tests were done. The platelet count was 310×109/l; other tests were normal. The epistaxis persisted the next day and a new bismuth idoform paraffin paste nasal pack was inserted. He underwent a nasal endoscopy the next day and an arterial bleed in the area of the left sphenopalatine artery was observed. Electrocautery to this area was performed and a post-nasal pack was applied.

Despite these …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.