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Anterior ischemic optic neuropathy after conventional coronary artery bypass graft surgery.

Dorecka M, Miniewicz-Kurkowska J, Romaniuk D, Gajdzik-Gajdecka U, Wójcik-Niklewska B - Med. Sci. Monit. (2011)

Bottom Line: A 57-year-old man, 4 days after Conventional Coronary Artery Bypass Graft surgery as result of multi-vessel stabile coronary artery disease and history of anterolateral wall myocardial infarction, was admitted to the Eye Clinic due to significant loss of vision in his right eye.The results of eye examination and fluorescein angiography confirmed the diagnosis of AION.In those cases, close cooperation between the various specialists is necessary.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Medical University of Silesia, University Hospital No5, Katowice, Poland. marioladorecka@wp.pl

ABSTRACT

Background: Perioperative optic neuropathy is a disease which can lead to serious, irreversible damage of vision. This complication could be the result of non-ocular surgery, for example, cardiac or spinal procedures. We present a case of anterior ischemic neuropathy (AION) which occurred following a conventional coronary artery bypass graft procedure.

Case report: A 57-year-old man, 4 days after Conventional Coronary Artery Bypass Graft surgery as result of multi-vessel stabile coronary artery disease and history of anterolateral wall myocardial infarction, was admitted to the Eye Clinic due to significant loss of vision in his right eye. The patient had hypertension and was a heavy smoker. On admission, the slit lamp examination revealed a relative afferent pupillary defect in the right eye. The fundus examination showed optic disc edema with the presence of flame hemorrhages. Best corrected visual acuity (BCVA) was 0.02. The results of eye examination and fluorescein angiography confirmed the diagnosis of AION. Anti-aggregation and antithrombotic treatment was continued with steroids and vasodilators. After 7 days of this treatment we noticed the improvement of BCVA to 0.2. At 6-month follow-up, the vision was stable, and fundus examination revealed optic disc atrophy.

Conclusions: After cardiac surgical operations, such as coronary artery bypass graft procedures, anterior ischemic optic neuropathy may occur. In those cases, close cooperation between the various specialists is necessary.

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Related in: MedlinePlus

Dilatated fundus photograph in red-free illumination of the right eye (AION) – shows swelling of the optic nerve head with blurred margins. Flame-shaped hemorrhages on the disc margin are visible.
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f1-medscimonit-17-6-cs70: Dilatated fundus photograph in red-free illumination of the right eye (AION) – shows swelling of the optic nerve head with blurred margins. Flame-shaped hemorrhages on the disc margin are visible.

Mentions: On admission, the slit lamp examination revealed relative afferent pupillary defect (RAPD) in the right eye. The fundus examination showed swelling of the optic nerve head, with pale and blurred margins. Flame-shaped hemorrhages on the disc margin were visible (Figure 1). BCVA was 0.02, intraocular pressure was 17 mmHg.


Anterior ischemic optic neuropathy after conventional coronary artery bypass graft surgery.

Dorecka M, Miniewicz-Kurkowska J, Romaniuk D, Gajdzik-Gajdecka U, Wójcik-Niklewska B - Med. Sci. Monit. (2011)

Dilatated fundus photograph in red-free illumination of the right eye (AION) – shows swelling of the optic nerve head with blurred margins. Flame-shaped hemorrhages on the disc margin are visible.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3539541&req=5

f1-medscimonit-17-6-cs70: Dilatated fundus photograph in red-free illumination of the right eye (AION) – shows swelling of the optic nerve head with blurred margins. Flame-shaped hemorrhages on the disc margin are visible.
Mentions: On admission, the slit lamp examination revealed relative afferent pupillary defect (RAPD) in the right eye. The fundus examination showed swelling of the optic nerve head, with pale and blurred margins. Flame-shaped hemorrhages on the disc margin were visible (Figure 1). BCVA was 0.02, intraocular pressure was 17 mmHg.

Bottom Line: A 57-year-old man, 4 days after Conventional Coronary Artery Bypass Graft surgery as result of multi-vessel stabile coronary artery disease and history of anterolateral wall myocardial infarction, was admitted to the Eye Clinic due to significant loss of vision in his right eye.The results of eye examination and fluorescein angiography confirmed the diagnosis of AION.In those cases, close cooperation between the various specialists is necessary.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Medical University of Silesia, University Hospital No5, Katowice, Poland. marioladorecka@wp.pl

ABSTRACT

Background: Perioperative optic neuropathy is a disease which can lead to serious, irreversible damage of vision. This complication could be the result of non-ocular surgery, for example, cardiac or spinal procedures. We present a case of anterior ischemic neuropathy (AION) which occurred following a conventional coronary artery bypass graft procedure.

Case report: A 57-year-old man, 4 days after Conventional Coronary Artery Bypass Graft surgery as result of multi-vessel stabile coronary artery disease and history of anterolateral wall myocardial infarction, was admitted to the Eye Clinic due to significant loss of vision in his right eye. The patient had hypertension and was a heavy smoker. On admission, the slit lamp examination revealed a relative afferent pupillary defect in the right eye. The fundus examination showed optic disc edema with the presence of flame hemorrhages. Best corrected visual acuity (BCVA) was 0.02. The results of eye examination and fluorescein angiography confirmed the diagnosis of AION. Anti-aggregation and antithrombotic treatment was continued with steroids and vasodilators. After 7 days of this treatment we noticed the improvement of BCVA to 0.2. At 6-month follow-up, the vision was stable, and fundus examination revealed optic disc atrophy.

Conclusions: After cardiac surgical operations, such as coronary artery bypass graft procedures, anterior ischemic optic neuropathy may occur. In those cases, close cooperation between the various specialists is necessary.

Show MeSH
Related in: MedlinePlus