Pantelić, Jelica (57191886772)Jelica (57191886772)PantelićKaradžić, Jelena (24767470400)Jelena (24767470400)KaradžićKovačević, Igor (6701643801)Igor (6701643801)KovačevićBulatović, Jelena (56081407900)Jelena (56081407900)Bulatović2025-06-122025-06-122018https://doi.org/10.2298/VSP160620388Phttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85060102846&doi=10.2298%2fVSP160620388P&partnerID=40&md5=80628f7988cfbdfd35c9c17ed6734a83https://remedy.med.bg.ac.rs/handle/123456789/6148Introduction. Juvenile nasopharyngeal angiofibromas are highly vascular, locally aggressive lesions, that affect male adolescents. The surgery is the treatment of choice, although it shows a strong propensity to bleed during surgical removal. Preoperative embolization enables the surgical approach in a less bloody way and also a complete resection of the tumor. However, this procedure is not without complications. The most severe complication of this technique is a migration of an embolus into the intracranial circulation. Case report. We present a 9-year-old boy who lost vison on his left eye following preoperative embolisation of juvenile nasopharyngeal angiofibromas as a result of central retinal artery occlusion. A recent review of the literature reported only three previously documented cases of central retinal artery occlusion occurring after embolization for a nasopharyngeal angiofibroma. We want to point out the possibility of this rare but devastating complication and the importance of rapid and accurate diagnosis and treatment so that a visual outcome could be better when applying an early medical treatment. Conclusion. Described case of central retinal artery occlusion is a rare and unusual, iatrogenic vascular event, that could arise as a complication from embolisation of nasopharingeal tumors. However, physicians (ophthalmologists and ear-nose-throat surgeons) should be aware od this devastating complication, and the close evaluation of angiograms for detection of any vascular abnormality before and during the embolization is crucial. © 2018, Routledge. All rights reserved.AngiofibromaChildDiagnosisEmbolizationLocalNasopharyngeal neoplasmsNeoplasm recurrenceOtorhinolaryngologic surgical proceduresRetinal artery occlusionTherapeuticTreatment outcome