Korean J Anesthesiol.  2014 Sep;67(3):221-224. 10.4097/kjae.2014.67.3.221.

Temporary postoperative visual loss associated with intracerebral hemorrhage after laparoscopic appendectomy: a case report

• Song HJ
• Jun JH
• Cha DG
• Lee YS

• KMID: 1966760
• DOI: http://doi.org/10.4097/kjae.2014.67.3.221

Abstract

Postoperative visual loss (POVL) after non-ophthalmic surgery is rare, with a reported incidence ranging from 0.013 to 0.2%. Most perioperative visual loss is associated with spine operations and cardiac bypass procedures. The most common cause of POVL is ischemic optic neuropathy. However, there are no previous reports of postoperative visual loss after laparoscopic appendectomy. A 43-year-old female with no underlying disease underwent laparoscopic appendectomy; the operation was completed in one hour and her blood pressure was stable during the perioperative period. In the post-anesthetic care unit, the patient complained of nausea and headache, but she did not complain of any unusual visual symptoms. Approximately one hour after arriving at the ward, the patient complained of visual disturbance. Neurologic examination revealed left homonymous hemianopsia, and subarachnoid hemorrhage and intracerebral hemorrhage were found in the occipital area on brain MRI.

Keyword

Complications; Laparoscopic appendectomy; Postoperative visual loss

MeSH Terms

Adult
Appendectomy*
Blood Pressure
Brain
Cerebral Hemorrhage*
Female
Headache
Hemianopsia
Humans
Incidence
Magnetic Resonance Imaging
Nausea
Neurologic Examination
Optic Neuropathy, Ischemic
Perioperative Period
Spine
Subarachnoid Hemorrhage