PURPOSE: To report a rare case of orbital subperiosteal abscess with central retinal artery occlusion that resulted in blindness. METHODS: A 60-year-old previously healthy woman was referred to the hospital with 4-day history of orbital cellulitis, progressive left eye pain, eyelid swelling, and 1-day history of visual impairment. The patient was diagnosed with subperiosteal abscess of the orbit on diagnostic imaging. RESULTS: An emergent surgical intervention was performed due to prominent visual impairment. One day after surgery, ophthalmoscopic examination revealed cherry-red spot of the left fundus and central retinal artery occlusion. The final vision of the left eye was no light perception. CONCLUSIONS: Central retinal artery occlusion, which is a therapeutic emergency, can be associated with acute progression of space-occupying lesion in the orbit such as subperiosteal abscess.
PURPOSE: To report a rare case of orbital subperiosteal abscess with central retinal artery occlusion that resulted in blindness. METHODS: A 60-year-old previously healthy woman was referred to the hospital with 4-day history of orbital cellulitis, progressive left eye pain, eyelid swelling, and 1-day history of visual impairment. The patient was diagnosed with subperiosteal abscess of the orbit on diagnostic imaging. RESULTS: An emergent surgical intervention was performed due to prominent visual impairment. One day after surgery, ophthalmoscopic examination revealed cherry-red spot of the left fundus and central retinal artery occlusion. The final vision of the left eye was no light perception. CONCLUSIONS: Central retinal artery occlusion, which is a therapeutic emergency, can be associated with acute progression of space-occupying lesion in the orbit such as subperiosteal abscess.