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BMC Ophthalmology

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Open Access 01-12-2015 | Case report

Transient cortical visual impairment after video-assisted thoracic surgery: a case report

Authors: Hee Kyung Yang, Jeong-Min Hwang

Published in: BMC Ophthalmology | Issue 1/2015

Abstract

Background

Visual loss associated with thoracic surgery has been reported mostly after coronary angiography or bypass surgery. The position of video-assisted thoracic surgery (VATS) is usually lateral, thus not compressive to the globe. Visual loss after VATS has not been reported. Herein we report a patient without any cardiovascular risk factors who experienced transient cortical blindness after an uneventful VATS.

Case presentation

A 40-year-old man noticed a visual loss at the recovery room after VATS. He showed normal pupillary reflex, normal optic disc appearance, and homonymous hemianopia respecting the vertical meridian, thus was typical for cortical visual impairment.

Conclusions

Transient cortical visual impairment could be encountered after an uneventful VATS in a patient without any cardiovascular risk factors.

Shen Y, Drum M, Roth S. The prevalence of perioperative visual loss in the United States: a 10-year study from 1996 to 2005 of spinal, orthopedic, cardiac, and general surgery. Anesth Analg. 2009;109:1534–45.CrossRefPubMed

Nuttall GA, Garrity JA, Dearani JA, Abel MD, Schroeder DR, Mullany CJ. Risk factors for ischemic optic neuropathy after cardiopulmonary bypass: a matched case/control study. Anesth Analg. 2001;93:1410–6.CrossRefPubMed

Chung MS, Son JH. Visual loss in one eye after spinal surgery. Korean J Ophthalmol. 2006;20:139–42.PubMedCentralCrossRefPubMed

Hoyt CS. Brain injury and the eye. Eye (Lond). 2007;21:1285–9.CrossRef

Williams EL. Postoperative blindness. Anesthesiol Clin North Am. 2002;20:605–22. viii.CrossRef

Johnston SC. Clinical practice. Transient ischemic attack. N Engl J Med. 2002;347:1687–92.CrossRefPubMed

Anticoli S, Pezzella FR, Pozzessere C, Gallelli L, Bravi MC, Caso V, et al. Transient ischemic attack fast-track and long-term stroke risk: role of diffusion-weighted magnetic resonance imaging. J Stroke Cerebrovasc Dis. 2015;24:2110–6.CrossRefPubMed

Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med. 1996;334:494–500.CrossRefPubMed

Visser WA, Kolling JB, Groen GJ, Tetteroo E, van Dijl R, Rosseel PM, et al. Persistent cortical blindness after a thoracic epidural test dose of bupivacaine. Anesthesiology. 2010;112:493–5.CrossRefPubMed

Title: Transient cortical visual impairment after video-assisted thoracic surgery: a case report
Authors: Hee Kyung Yang
Jeong-Min Hwang
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: BMC Ophthalmology / Issue 1/2015
Electronic ISSN: 1471-2415
DOI: https://doi.org/10.1186/s12886-015-0157-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transient cortical visual impairment after video-assisted thoracic surgery: a case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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