Bilateral visual loss complicating liposuction in a patient with idiopathic intracranial hypertension

Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
Mário Luiz Ribeiro MonteiroLeonardo Provetti Cunha

Abstract

A 34-year-old obese woman developed blurred vision in both eyes soon after large-volume liposuction of the dorsum and gluteus region bilaterally associated with abdominal dermolipectomy. An ophthalmic examination revealed severe bilateral visual loss and pallid optic disc edema. The patient gave a history of transient obscurations of vision in the past. Neuroimaging studies were non-revealing, but a lumbar puncture disclosed a markedly elevated intracranial pressure. The patient was diagnosed as having had bilateral ischemic optic neuropathy superimposed on pre-existing idiopathic intracranial hypertension (IIH). Acetazolamide treatment was used. Some visual improvement occurred, and optic disc edema evolved into severe optic disc pallor. This case shows that visual loss from optic disc infarction may be a devastating complication of high-volume liposuction in patients with underlying IIH. Because liposuction is frequently performed on obese patients, physicians should screen for signs and symptoms of IIH before undertaking this procedure.

References

Jun 1, 1992·Plastic and Reconstructive Surgery·E H CourtissM B Donelan
Feb 18, 1999·Aesthetic Plastic Surgery·R Albin, T de Campo
May 13, 1999·The New England Journal of Medicine·R B RaoR S Hoffman
Jan 8, 2000·Plastic and Reconstructive Surgery·F M Grazer, R H de Jong
Jan 8, 2000·Plastic and Reconstructive Surgery·S A Wolfe
Dec 2, 2000·Journal of the Neurological Sciences·A MinagarJ S Glaser
Feb 15, 2001·JAMA : the Journal of the American Medical Association·A Matarasso, O H Hutchinson
Nov 23, 2001·Clinical Privilege White Paper
Jul 28, 2004·Plastic and Reconstructive Surgery·Jeffrey M KenkelSpencer A Brown
Sep 7, 2004·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Rod Foroozan, Joseph Varon
Dec 22, 2004·Progress in Neuro-psychopharmacology & Biological Psychiatry·Iluminada CorripioEnric Alvarez

❮ Previous
Next ❯

Citations

Oct 8, 2013·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Nagham Al ZubidiAndrew G Lee
Sep 11, 2010·Plastic and Reconstructive Surgery·Phillip C HaeckUNKNOWN ASPS Patient Safety Committee
Jun 4, 2008·Plastic and Reconstructive Surgery·Marcus LehnhardtHans U Steinau
Jul 9, 2014·Annals of Plastic Surgery·Luca MaioneFabio Caviggioli
Jul 14, 2012·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·James Corbett
Apr 5, 2011·Plastic and Reconstructive Surgery·Tommaso AgostiniDavide Lazzeri
Aug 10, 2021·Neuro-ophthalmology·Kaveh Abri AghdamAzadeh Yavari

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
Rod Foroozan, Joseph Varon
© 2021 Meta ULC. All rights reserved