Korean J Ophthalmol.  1995 Jun;9(1):47-50. 10.3341/kjo.1995.9.1.47.

Temporary amaurosis with persistent visual field defect following acute blood loss

• Kim BB
• Shyn KH

• KMID: 1735136
• DOI: http://doi.org/10.3341/kjo.1995.9.1.47

Abstract

Visual loss and field defects commonly occur after acute blood loss. We present a case of bilateral permanent visual field defect in a 30-year-old man after a massive hemorrhage caused by large vessel injury during a right nephrectomy. His postoperative visual acuity decreased significantly, and his visual field showed peripheral constriction and inferior altitudinal field defect in both eyes. A year and a half after the operation, visual acuity recovered to the preoperative level, but the field did not show improvement. We advance that this is a possible result of extensive injury to the occipital area, excluding the corresponding area of the macula.

Keyword

amaurosis; blood loss; brain injury; visual field defect

MeSH Terms

Acute Disease
Adult
Blindness/*etiology
Blood Loss, Surgical/*physiopathology
Cerebral Infarction/complications/*etiology
Humans
Male
Nephrectomy
Occipital Lobe/pathology
Vena Cava, Inferior/injuries
Vision Disorders/*etiology
*Visual Fields