Ischemic optic neuropathy after hemorrhage from a cornual ectopic gestation

American Journal of Obstetrics and Gynecology
D M Chun, D K Levin

Abstract

A case of ischemic optic neuropathy resulting from uterine hemorrhage is reported in which a 37-year-old white woman, gravida 1, para 0, was diagnosed at 8 weeks' gestation with a ruptured ectopic pregnancy. After diagnostic laparoscopy the patient underwent a minilaparotomy, cornual wedge resection, and right salpingectomy with a total estimated blood loss of 3000 ml. Her postoperative course was uneventful until postoperative day 4, when the patient complained of vision loss for the last 1 to 2 days, total body edema, and headache. Ophthalmologic examination revealed findings consistent with ischemic optic neuropathy. Multiple studies of the cerebrospinal fluid were negative, as were computed tomography studies and magnetic resonance imaging of the head. Ischemic optic neuropathy, whose pathogenesis is still unclear, is a rare complication of massive hemorrhage and may cause permanent vision loss.

References

Nov 1, 1987·Surgery, Gynecology & Obstetrics·B E Cahill, M D Kerstein
Sep 1, 1949·The British Journal of Ophthalmology·S LOCKET

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Citations

Feb 22, 2012·Journal of Anaesthesiology, Clinical Pharmacology·Vk Grover, Kiran Jangra
Dec 17, 2009·British Journal of Anaesthesia·S Roth
Sep 29, 2009·Survey of Ophthalmology·Emily S BirkholzJurij R Bilyk
Sep 27, 2002·Anesthesiology Clinics of North America·E Lynne Williams
Apr 29, 2014·Taiwanese Journal of Obstetrics & Gynecology·Hsin-Ning ChangTing-Chang Chang
Jun 13, 2002·Acta Anaesthesiologica Scandinavica·M GuptaI G Rennie
Apr 26, 2013·Current Opinion in Anaesthesiology·Lorri A Lee
Mar 13, 2003·Acta Anaesthesiologica Scandinavica·J J de Lange

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