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 Citations (Scopus)

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

Fingerprint

Ischemic Optic Neuropathy
Hypotension
Shock
Wounds and Injuries
Exsanguination
Collagen Diseases
Multiple Organ Failure
Adult Respiratory Distress Syndrome
Blindness
Vascular Diseases
Hemorrhage
Incidence

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Posterior ischemic optic neuropathy related to profound shock after penetrating thoracoabdominal trauma. / Asensio, Juan A.; Forno, Walter; Castillo, Gustavo A Roldán; Gambaro, Esteban; Petrone, Patrizio.

In: Southern Medical Journal, Vol. 95, No. 9, 09.2002, p. 1053-1057.

Research output: Contribution to journalArticle

Asensio, JA, Forno, W, Castillo, GAR, Gambaro, E & Petrone, P 2002, 'Posterior ischemic optic neuropathy related to profound shock after penetrating thoracoabdominal trauma', Southern Medical Journal, vol. 95, no. 9, pp. 1053-1057.
Asensio, Juan A. ; Forno, Walter ; Castillo, Gustavo A Roldán ; Gambaro, Esteban ; Petrone, Patrizio. / Posterior ischemic optic neuropathy related to profound shock after penetrating thoracoabdominal trauma. In: Southern Medical Journal. 2002 ; Vol. 95, No. 9. pp. 1053-1057.
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