C-Shaped Scotoma after Complicated Cesarean Section: A Case of Acute Macular Neuroretinopathy.
Acute macular neuroretinopathy
Cesarean section
Epinephrine
Retinal microvasculature
Spectral-domain optical coherence tomography
Journal
Case reports in ophthalmology
ISSN: 1663-2699
Titre abrégé: Case Rep Ophthalmol
Pays: Switzerland
ID NLM: 101532006
Informations de publication
Date de publication:
Historique:
received:
07
08
2019
accepted:
20
10
2019
entrez:
9
1
2020
pubmed:
9
1
2020
medline:
9
1
2020
Statut:
epublish
Résumé
Acute macular neuroretinopathy (AMN) is a rare retinal disease that produces transient or permanent visual impairment and occurs predominantly in young, Caucasian women of childbearing age. It is often characterized by wedge-like macular lesions. Although the cause of AMN is unknown, recent research suggests a microvascular etiology. Various vascular pathologies, including post-viral illness, oral contraceptives, and use of vasoconstrictive agents, have been associated with AMN. We present a case of a woman with C-shaped visual field defects in both eyes after inadvertent exposure to intravenous high-dose epinephrine during onset of spinal anesthesia. At present, only 8 cases of AMN after exposure to epinephrine have been described in literature. To our knowledge, this is the first case of AMN that presented following epinephrine injection during childbirth.
Identifiants
pubmed: 31911780
doi: 10.1159/000504289
pii: cop-0010-0391
pmc: PMC6940446
doi:
Types de publication
Case Reports
Langues
eng
Pagination
391-396Informations de copyright
Copyright © 2019 by S. Karger AG, Basel.
Déclaration de conflit d'intérêts
There are no conflicts of interest to declare.
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