Assaf Sohiub N, Assaf Abdallah N, Assaf Muaz N, Pickett Joshua, Pierce John M
Department of Medicine, The University of Tennessee Graduate School of Medicine, Knoxville, USA.
Cureus. 2023 Jan 7;15(1):e33482. doi: 10.7759/cureus.33482. eCollection 2023 Jan.
Central retinal artery occlusion (CRAO) after a prolonged period of lying prone is a rare condition with only a handful of cases reported, generally as a postoperative complication of spinal surgery. Only a few cases can be found describing acute visual loss following intravenous drug abuse and stupor leading to continuous pressure on the orbit while asleep. No cases can be found describing acute visual loss following the ingestion of oral sedating/antipsychotic medications. Urgent identification and workup with subsequent interventions are needed to offer the highest probability of full/partial visual restoration. Our patient presented with complete vision loss after ingesting oral antipsychotic medications leading to a prolonged sedated state in which compressive ischemia led to central retinal artery occlusion. The complex timeline regarding the patient's presentation and the implications relating to offered interventions are highlighted in this case report.
长时间俯卧后发生的视网膜中央动脉阻塞（CRAO）是一种罕见病症，仅有少数病例报道，通常为脊柱手术后的并发症。仅有几例描述了静脉药物滥用和昏迷导致睡眠时持续压迫眼眶后出现急性视力丧失的情况。未发现有描述口服镇静/抗精神病药物后出现急性视力丧失的病例。需要进行紧急识别、检查及后续干预，以提供最大程度的完全/部分视力恢复可能性。我们的患者在服用口服抗精神病药物后出现完全视力丧失，导致长时间处于镇静状态，在此状态下压迫性缺血导致了视网膜中央动脉阻塞。本病例报告突出了患者就诊的复杂时间线以及所提供干预措施的影响。
