Stoffelns B M
Augenklinik der Johannes-Gutenberg-Universität, Langenbeckstrasse 1, 55131, Mainz.
Ophthalmologe. 2009 May;106(5):448-51. doi: 10.1007/s00347-008-1874-0.
A 60-year-old patient reported a slight decrease in visual acuity with loss of field of vision. He also noted a mild sense of vertigo and a feeling of "pressure in his head". He had undergone laparoscopic bilateral hernia repair 3 days before on an outpatient basis. Diagnostic work-up revealed shock-induced anterior ischemic optic neuropathy (AION) of the left eye. Without special treatment measures the head pressure and feeling of weakness subsided considerably in a spontaneous course within 24 h. Three months later partial optic atrophy of the affected eye was observed with stable visual acuity of 0.8 and unchanged loss of field of vision.
一名60岁患者报告视力略有下降且视野丧失。他还提到有轻微的眩晕感和“头部压迫感”。3天前他在门诊接受了腹腔镜双侧疝修补术。诊断检查显示左眼为休克诱发的前部缺血性视神经病变（AION）。未经特殊治疗措施，头部压力和虚弱感在24小时内自发过程中显著减轻。3个月后，观察到患眼出现部分视神经萎缩，视力稳定在0.8，视野缺损无变化。
