TY - JOUR
T1 - Posterior ischemic optic neuropathy related to profound shock after penetrating thoracoabdominal trauma
AU - Asensio, Juan A.
AU - Forno, Walter
AU - Castillo, Gustavo A.Roldán
AU - Gambaro, Esteban
AU - Petrone, Patrizio
PY - 2002/9
Y1 - 2002/9
N2 - 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.
AB - 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.
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U2 - 10.1097/00007611-200295090-00020
DO - 10.1097/00007611-200295090-00020
M3 - Article
C2 - 12356108
AN - SCOPUS:0036732937
VL - 95
SP - 1053
EP - 1057
JO - Southern Medical Journal
JF - Southern Medical Journal
SN - 0038-4348
IS - 9
ER -