Posterior ischemic optic neuropathy related to profound shock after penetrating thoracoabdominal trauma

Juan A. Asensio, Walter Forno, Gustavo A.Roldán Castillo, Esteban Gambaro, Patrizio Petrone

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Ischemic optic neuropathy is a rare cause of blindness reported most commonly in association with collagen-vascular diseases, infectious processes, and systemic hypotension related to massive exsanguinating hemorrhage. We report what we believe to be the first case of posterior ischemic optic neuropathy due to perioperative hypotension in a patient who had a penetrating thoracoabdominal injury with massive hemorrhage, severe hypotension, massive microcapillary circulatory leak, multiple system organ failure, and acute respiratory distress syndrome. Although the incidence of postoperative visual loss is low (-0.002%), awareness of this entity must be raised within the trauma surgical community.

Original languageEnglish (US)
Pages (from-to)1053-1057
Number of pages5
JournalSouthern Medical Journal
Volume95
Issue number9
StatePublished - Sep 1 2002
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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