RT Journal Article
SR Electronic
T1 Retinal and choroidal vascular occlusion secondary to corticosteroid embolisation.
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 32
OP 34
DO 10.1136/bjo.73.1.32
VO 73
IS 1
A1 W S Wilkinson
A1 C M Morgan
A1 E Baruh
A1 K A Gitter
YR 1989
UL http://bjo.bmj.com/content/73/1/32.abstract
AB 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.