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Cerebrospinal Fluid Leak From the Orbital Roof During Orbital Exenteration

Curragh, David S. MB B.Ch., F.R.C. Ophth; Valentine, Rowan F.R.A.C.S., Ph.D.; Selva, Dinesh D.H.C.S., F.R.A.N.Z.C.O.*

Ophthalmic Plastic and Reconstructive Surgery: November/December 2019 - Volume 35 - Issue 6 - p e128–e129
doi: 10.1097/IOP.0000000000001455
Case Reports

Cerebrospinal fluid leaks are rarely encountered by orbital surgeons, but can occur during dacryocystorhinostomy, orbital decompression, orbital exenteration, and enucleation. The authors present a case of cerebrospinal fluid leak from an injury to the orbital roof during orbital exenteration with the use of monopolar cautery. This was repaired with multilayer closure. Surgeons performing orbital exenteration must be aware of the possibility of this complication when using monopolar electrocautery to transect the orbital contents at the apex during an exenteration.

Injury to the orbital roof with monopolar cautery during orbital exenteration can result in cerebrospinal fluid leak, and orbital surgeons must be aware of the possibility of its occurrence.

*South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, Australia

Department of Otolaryngology, Queen Elizabeth Hospital, Adelaide, South Australia, Australia

Accepted for publication July 17, 2019.

The authors have no financial or conflicts of interest to disclose.

Address correspondence and reprint requests to David S. Curragh, F.R.C. Ophth., South Australian Institute of Ophthalmology, Level 6G-642, Royal Adelaide Hospital, Port Road, Adelaide, SA 5000. E-mail:

© 2019 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.