Release Hallucinations and Visual Loss as First Manifestations of Postoperative Unilateral Blindness
| Autor: | Marta Fernandez-Munoz, A Galindo, Javier A. Montero, José M. Ruiz-Moreno |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
medicine.medical_specialty Visual acuity Hallucinations genetic structures Retinal Artery Occlusion Visual Acuity Amaurosis Fugax Lumbar vertebrae 03 medical and health sciences 0302 clinical medicine Lumbar medicine Humans 030212 general & internal medicine Lumbar Vertebrae business.industry General Medicine Amaurosis fugax Unilateral blindness medicine.disease eye diseases Visual Hallucination 030227 psychiatry Surgery Ophthalmology medicine.anatomical_structure Anesthesia Central retinal artery occlusion Female medicine.symptom business Intervertebral Disc Displacement Diskectomy |
| Zdroj: | European Journal of Ophthalmology. 17:844-846 |
| ISSN: | 1724-6016 1120-6721 |
| DOI: | 10.1177/112067210701700526 |
| Popis: | Purpose Release hallucinations (RH) with insight into the unreality of the hallucination have been reported in association with severe vision loss. Postoperative blindness following nonocular surgery may appear associated with central retinal artery occlusion (CRAO) caused by incorrect head positioning during surgery, intraoperative hypotension, and atherosclerosis. RH may initially mask the loss of vision. Methods Case report. Results A 27-year-old woman who had undergone lumbar spinal surgery for right L4-L5 discal herniation developed left eye visual loss and complex visual hallucinations immediately after surgery. Her symptoms were initially considered hallucinations related to the anesthesia and not taken into consideration until 4 days later. Ophthalmic examination disclosed CRAO probably caused by ocular compression during surgery. Optic nerve atrophy appeared during the following 6 years. Conclusions Doctors and auxiliary personnel should be aware that visual hallucinations may be a sign of actual vision damage. |
| Databáze: | OpenAIRE |
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