Acute Bilateral Visual Loss Related to Orthostatic Hypotension.
10.3341/kjo.2013.27.5.372
- Author:
Jung Yeul KIM
1
;
Kyoung Nam KIM
;
Woo Jin KIM
;
Yeon Hee LEE
Author Information
1. Department of Ophthalmology, Chungnam National University College of Medicine, Daejeon, Korea. opticalyh@hanmail.net
- Publication Type:Case Reports
- Keywords:
Ischemic optic neuropathy;
Optic disc edema;
Orthostatic hypotension;
Visual loss
- MeSH:
Acute Disease;
Blindness/diagnosis/*etiology/physiopathology;
Fluorescein Angiography;
Fundus Oculi;
Humans;
Hypotension, Orthostatic/*complications/physiopathology;
Male;
Middle Aged;
Visual Acuity
- From:Korean Journal of Ophthalmology
2013;27(5):372-375
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 50-year-old man had undergone lumbar vertebral surgery and was confined to bed in the supine position for three months. When he sat up from the prolonged supine position, he showed clinical signs of orthostatic hypotension and reported decreased vision in both eyes. He also had underlying anemia. Ophthalmologic findings suggested bilateral anterior ischemic optic neuropathy (ION) as the cause of the visual loss. Although there are numerous reports of ION in the setting of hemodynamic compromise, such as systemic hypotension, cases of ION-associated orthostatic hypotension are very rare.
