Imaging of the post-operative orbit and associated complications. (July 2021)

• Record Type: Journal Article
• Authors: Anderson, Redmond-Craig; Rajagopalan, Priya; Lee, Jonathan; Li, Joy; Wong, Brandon; Zhang-Nunes, Sandy; Gupta, Kishan; Acharya, Jay; Rajamohan, Anandh G.; Chang, Jessica; Patel, Vishal
• Is Part Of: Journal of clinical neuroscience. Volume 89(2021)
• Page Start: 437
• Page End: 447
• Publication Date: 2021-07
• Subjects: Orbit -- Eye -- Ophthalmology -- Radiology -- Surgical complications -- Neuroimaging; Brain -- Surgery -- Periodicals; Neurosciences -- Periodicals; Nervous system -- Surgery -- Periodicals; Brain -- surgery -- Periodicals; Neurosurgical Procedures -- Periodicals; Neurosciences -- Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.jocn.2021.05.031
• Languages: English
• ISSNs: 0967-5868

Abstract

Highlights: Post-operative orbital imaging is increasingly common. Understanding typical complications is key to interpreting post-operative imaging. Eye surgeries include anterior segment, vitreoretinal, and oculoplastic procedures. Ophthalmologic implants are commonly placed for a variety of indications. Ultrasound, CT, and MRI have distinct applications in the post-operative orbit. Abstract: Dedicated post-operative radiological evaluation following ophthalmologic procedures is relatively uncommon. However, given the ever-growing ophthalmologic procedural advancements and the increasing utilization of neuroimaging for myriad indications, the orbits are often imaged incidentally in a delayed post-procedural state. Regardless of the clinical scenario, it is important for neuroradiologists and other specialists commonly exposed to orbital imaging to be aware of both expected and abnormal post-operative imaging findings because misinterpreted normal features or unrecognized complications can result in vision-threatening delays in treatment or mismanagement. In this review article, we discuss many common ophthalmologic procedures, their indications, and most likely complications. We also provide illustrative operative photographs and radiological imaging examples. By understanding the surgical intent, recognizing the devices that are commonly used, and developing familiarity with the appearance of post-operative complications, pitfalls in interpretation can be avoided and patient outcomes ultimately improved.