Vision loss after maxillary artery embolization secondary to compressive optic neuropathy

The authors report a case of no light perception (NLP) vision in a patient with sinonasal melanoma after maxillary artery embolization secondary to presumptive compressive optic neuropathy. Two reports of NLP vision occurring after maxillary artery embolization are reported in the literature, both occurring secondary to collateral blood flow to the ophthalmic artery resulting in central retinal artery occlusion. In the current case report, the presumed mechanism of vision loss is secondary to compressive optic neuropathy from local edema occurring after maxillary artery embolization.