• Mijung Chi, H Jane Kim, Bengu E Koktekir, Reza Vagefi, and Robert C Kersten.
• From the *Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea; †Department of Ophthalmology, University of California, San Francisco, California; and ‡Department of Ophthalmology, Selcuk University, Konya, Turkey.
• J Craniofac Surg. 2014 Mar 1; 25 (2): 469-70.

AbstractCerebrospinal fluid leakage into the orbit (CSF orbitorrhea) or through the orbit to the exterior (CSF oculorrhea) occurs when there is a communication between orbit and subarachnoid space. It has rarely been described. We report a case of CSF oculorrhea following surgery for recurrent sphenoid wing meningioma. A 67-year-old patient who underwent craniotomy for a recurrent sphenoid wing meningioma complained of tearing from the ipsilateral eye. Fluid collection was observed in the right periorbital area contiguous with craniotomy wound. With wide retraction of eyelids, a 1-cm longitudinal full-thickness laceration through the conjunctiva toward the lateral orbital rim was visualized in the area of the lateral canthal tendon. Steady leakage of pink-tinged serous fluid through the forniceal laceration was observed. With a presumed diagnosis of iatrogenic CSF oculorrhea, the patient was treated conservatively with resolution by postoperative day 6.

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