- Author:
Bong Byun KIM
1
;
Kyung Hwan SHYN
Author Information
- Publication Type:Case Reports
- Keywords: amaurosis; blood loss; brain injury; visual field defect
- MeSH: Acute Disease; Adult; Blindness/*etiology; Blood Loss, Surgical/*physiopathology; Cerebral Infarction/complications/*etiology; Humans; Male; Nephrectomy; Occipital Lobe/pathology; Vena Cava, Inferior/injuries; Vision Disorders/*etiology; *Visual Fields
- From:Korean Journal of Ophthalmology 1995;9(1):47-50
- CountryRepublic of Korea
- Language:English
- Abstract: Visual loss and field defects commonly occur after acute blood loss. We present a case of bilateral permanent visual field defect in a 30-year-old man after a massive hemorrhage caused by large vessel injury during a right nephrectomy. His postoperative visual acuity decreased significantly, and his visual field showed peripheral constriction and inferior altitudinal field defect in both eyes. A year and a half after the operation, visual acuity recovered to the preoperative level, but the field did not show improvement. We advance that this is a possible result of extensive injury to the occipital area, excluding the corresponding area of the macula.