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A case of cortical blindness due to cerebral isquemia during OPCAB surgery and later recovery
Author(s) -
GUTIéRREZ BONET R,
QUIJADA ANGELI S,
SANTOS VICENTE E
Publication year - 2013
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2013.f088.x
Subject(s) - medicine , cortical blindness , ischemia , visual field , hypoxia (environmental) , cystic fibrosis , surgery , blindness , cerebral hypoxia , ophthalmology , cardiology , chemistry , organic chemistry , oxygen , optometry
Purpose To describe a case of cortical blindness caused by hypoxia during a bilateral lung transplant in a 19‐year‐old patient affected with cystic fibrosis and later recovery. Methods 19‐year old male diagnosed with cystic fibrosis is set to be operated of a bilateral lung transplant by OPCAB surgery. After the procedure the patient referred marked visual loss (hand movement). Slit lamp exploration was normal as well as funduscopy, OCT, IOP and pupillary reflexes, finding severe alterations in the visual fields performed. Results The patient was diagnosed with bilateral occipital ischemia confirmed by MRI and caused by cerebral hypoxia during surgery. During the last 4 weeks visual acquity has improved to 0.2 (OD) and 0.4 (OS). Visual field results have also improved. As of today the patient evolution is still being followed. Conclusion The critical importance of reducing as much as possible the time of surgery when OPCAB techniques are performed and the possibility of clinical improvement patients may show after cortical isquemia.