Cerebrospinal Fluid Leak Presenting as Epiphora. Ophthalmic Plast Reconstr Surg 2016;32(2):e26-8
Date
06/10/2014Pubmed ID
24911537Pubmed Central ID
PMC4258181DOI
10.1097/IOP.0000000000000190Scopus ID
2-s2.0-84901864445 (requires institutional sign-in at Scopus site) 1 CitationAbstract
A 52-year-old woman underwent a right frontotemporal craniotomy for microsurgical clip obliteration of a ruptured right dorsal variant ophthalmic segment carotid aneurysm. During the craniotomy, a defect involving the orbital roof was inadvertently created. The patient was noted postoperatively to have fluid egressing from her OD. The fluid was analyzed and based on glucose and chloride levels was determined to be cerebrospinal fluid (CSF). CT scan of the head demonstrated the orbital roof defect created during surgery. After placement of a lumbar drain, fluid egress from the eye significantly decreased, further confirming the suspicion for CSF leak. Patient was found to have a conjunctival defect of the OD, approximately 2.5 cm × 1.5 cm, extending to the fornix from 9 to 12 o'clock. The conjunctival defect and fornix were repaired with an amniotic membrane graft and a temporary tarsorrhaphy with subsequent resolution of CSF egress. The case report is in compliance with the Health Insurance Portability and Accountability Act.
Author List
Jain S, Patel RM, Hage Z, Lim J, Lee S, Amin-Hanjani S, Setabutr P, Aakalu VKAuthor
Vinay Kumar Aakalu MPH, MD Chair, Professor in the Ophthalmology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Aneurysm, RupturedCarotid Artery, Internal
Cerebrospinal Fluid Leak
Craniotomy
Female
Humans
Intracranial Aneurysm
Lacrimal Apparatus Diseases
Middle Aged
Ophthalmologic Surgical Procedures
Tomography, X-Ray Computed
