Schimmel R, Gümbel H O, Lipke K J
Abteilung für Augenheilkunde, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.
Ophthalmologe. 2016 Nov;113(11):945-949. doi: 10.1007/s00347-016-0240-x.
This article presents the case of a 72-year-old male patient who suffered severe trauma of the spinal column. The patient developed persistent, bilateral, complete blindness after prolonged emergency neurosurgical treatment in a prone position. A bilateral surgical posterior ischemic optic neuropathy (PION) was diagnosed, which is a rare but severe complication of prolonged non-ocular surgery with circulatory stress. The massive, mostly bilateral, irreversible visual loss up to complete blindness leads to severe and permanent impairment of affected patients.
本文介绍了一名72岁男性患者的病例,该患者遭受了严重的脊柱创伤。在俯卧位进行长时间的急诊神经外科治疗后,患者出现了持续性、双侧完全失明。诊断为双侧手术性后部缺血性视神经病变(PION),这是长时间非眼科手术伴循环应激的一种罕见但严重的并发症。大量的、大多为双侧的、不可逆的视力丧失直至完全失明,导致受影响患者严重且永久性的损伤。