Sudden Visual Loss After Vitreoretinal Surgery: A Case Report

A 51-year-old male underwent vitrectomy with retrobulbar anesthesia for retinal detachment. Post surgery, he experienced systemic hypotension which normalized after 3 h. The day after, he complained of a central scotoma in the operated eye. Intraocular pressure was normal, but fundus examination rev...

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Main Authors: Agostino Salvatore Vaiano, Fabio Garavelli, Antonio Greco, Riccardo Merli, Alessandro De Filippis, Andrea Greco, Maria Marenco
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2024/6618094
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author Agostino Salvatore Vaiano
Fabio Garavelli
Antonio Greco
Riccardo Merli
Alessandro De Filippis
Andrea Greco
Maria Marenco
author_facet Agostino Salvatore Vaiano
Fabio Garavelli
Antonio Greco
Riccardo Merli
Alessandro De Filippis
Andrea Greco
Maria Marenco
author_sort Agostino Salvatore Vaiano
collection DOAJ
description A 51-year-old male underwent vitrectomy with retrobulbar anesthesia for retinal detachment. Post surgery, he experienced systemic hypotension which normalized after 3 h. The day after, he complained of a central scotoma in the operated eye. Intraocular pressure was normal, but fundus examination revealed hemorrhages and whitening along the papillomacular bundle and macula, with additional whitening in the upper midperipheral region. Multimodal imaging confirmed branch retinal vein, artery, and cilioretinal artery occlusion. Further examination revealed mild-to-moderate obstructive sleep apnea syndrome. Vascular occlusions are potential complications of vitreoretinal surgery, warranting thorough preoperative assessment for underlying risk factors, even if causative mechanism is still unknown.
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institution Kabale University
issn 2090-6730
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publisher Wiley
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-94de44dcce54434496f7a9cd80943ebf2025-02-03T07:21:12ZengWileyCase Reports in Ophthalmological Medicine2090-67302024-01-01202410.1155/2024/6618094Sudden Visual Loss After Vitreoretinal Surgery: A Case ReportAgostino Salvatore Vaiano0Fabio Garavelli1Antonio Greco2Riccardo Merli3Alessandro De Filippis4Andrea Greco5Maria Marenco6Institute of OphthalmologyInstitute of OphthalmologyInstitute of OphthalmologyInstitute of OphthalmologyInstitute of OphthalmologyInstitute of OphthalmologyInstitute of OphthalmologyA 51-year-old male underwent vitrectomy with retrobulbar anesthesia for retinal detachment. Post surgery, he experienced systemic hypotension which normalized after 3 h. The day after, he complained of a central scotoma in the operated eye. Intraocular pressure was normal, but fundus examination revealed hemorrhages and whitening along the papillomacular bundle and macula, with additional whitening in the upper midperipheral region. Multimodal imaging confirmed branch retinal vein, artery, and cilioretinal artery occlusion. Further examination revealed mild-to-moderate obstructive sleep apnea syndrome. Vascular occlusions are potential complications of vitreoretinal surgery, warranting thorough preoperative assessment for underlying risk factors, even if causative mechanism is still unknown.http://dx.doi.org/10.1155/2024/6618094
spellingShingle Agostino Salvatore Vaiano
Fabio Garavelli
Antonio Greco
Riccardo Merli
Alessandro De Filippis
Andrea Greco
Maria Marenco
Sudden Visual Loss After Vitreoretinal Surgery: A Case Report
Case Reports in Ophthalmological Medicine
title Sudden Visual Loss After Vitreoretinal Surgery: A Case Report
title_full Sudden Visual Loss After Vitreoretinal Surgery: A Case Report
title_fullStr Sudden Visual Loss After Vitreoretinal Surgery: A Case Report
title_full_unstemmed Sudden Visual Loss After Vitreoretinal Surgery: A Case Report
title_short Sudden Visual Loss After Vitreoretinal Surgery: A Case Report
title_sort sudden visual loss after vitreoretinal surgery a case report
url http://dx.doi.org/10.1155/2024/6618094
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