C-Shaped Scotoma after Complicated Cesarean Section: A Case of Acute Macular Neuroretinopathy
| Autor: | Günther Putz, Georgios Blatsios, Gertrud Haas, Claus Zehetner, Teresa Rauchegger |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
endocrine system
medicine.medical_specialty genetic structures Visual impairment acute macular neuroretinopathy Case Report retinal microvasculature Disease 01 natural sciences 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Ophthalmology medicine Childbirth epinephrine 0101 mathematics cesarean section business.industry Blind spot 010102 general mathematics Visual field Macular Lesion Epinephrine lcsh:RE1-994 spectral-domain optical coherence tomography 030221 ophthalmology & optometry Etiology medicine.symptom business medicine.drug |
| Zdroj: | Case Reports in Ophthalmology, Vol 10, Iss 3, Pp 391-396 (2019) |
| ISSN: | 1663-2699 |
| DOI: | 10.1159/000504289 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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