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

Affiliations
  • 1Department of Ophthalmology, College of Medicine, Chung-Ang University, Seoul, Korea.

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

Cited by  2 articles

Bilateral Occipital Lobe Infarction Presenting as Bilateral Inferior Altitudinal Defects
Seong Wook Han, Seung Ah Chung
J Korean Ophthalmol Soc. 2019;60(3):298-302.    doi: 10.3341/jkos.2019.60.3.298.

Temporary postoperative visual loss associated with intracerebral hemorrhage after laparoscopic appendectomy: a case report
Hyo Jin Song, Jong Hun Jun, Dong Guk Cha, Young Sun Lee
Korean J Anesthesiol. 2014;67(3):221-224.    doi: 10.4097/kjae.2014.67.3.221.

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