Ischemic optic neuropathy in robotic-assisted gynaecologic surgery: A case report.
ischemic optic neuropathy
perioperative visual loss
robotic surgery
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
13
07
2018
accepted:
02
11
2018
pubmed:
7
12
2018
medline:
21
6
2019
entrez:
7
12
2018
Statut:
ppublish
Résumé
The study was aimed to present a rare case of who developed non arteritic anterior ischemic optic neuropathy (NAION) following robotic-assisted gynaecologic surgery. A 58-year-old female patient presented with vision loss in right eye after non-complicated robotic-assisted total hysterectomy and bilateral salpingo-oopherectomy. We observed on fundoscopy optic disc edema and splinter hemorrhages at the optic disc edges. Fluorescein angiography showed hypofluorescence of the optic disc in the early phases due to filling delay followed by hyperfluorescence with leakage from disc capillaries in the late phases of the angiogram. From these findings, we diagnosed NAION in the right eye. When NAION was diagnosed, the patient received intravenous methylprednisolone. Topical brimonidin and coenzyme-Q were given. On 1-month follow-up, recovery of visual loss was observed. Here, we present a case of NAION that is an uncommon cause of perioperative visual loss after robotic-assisted gyneacologic surgery.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
748-750Informations de copyright
© 2018 Japan Society of Obstetrics and Gynecology.