Occurrence of Hemi-Central Retinal Artery Occlusion Following Embolization in a Case of Recurrent Juvenile Nasopharyngeal Angiofibroma

摘要

Preoperative embolization is currently widely followed in the treatment of juvenile nasopharyngeal angiofibroma (JNA) to reduce intraoperative bleeding. However, embolization can result in untoward complications like stroke and blindness. The authors present the case of a 14-year-old boy with recurrent JNA who developed hemi-central retinal artery occlusion after embolization of branches of the external carotid artery. It was managed by intraocular pressure reduction and globe massage to dislodge the possible embolus. At 4 weeks' follow-up, there was near complete recovery in visual acuity; however, residual hemi-field defect persisted.