Department of Urology, Ibn El Jazzar Hospital, Kairouan, Tunisia.
Department of Ophthalmology, Ibn El Jazzar Hospital, Kairouan, Tunisia.
Pan Afr Med J. 2024 Apr 22;47:201. doi: 10.11604/pamj.2024.47.201.42952. eCollection 2024.
Perioperative vision loss following non-ophthalmic surgical procedures represents a rare but potentially serious complication. Although its occurrence in urology is infrequent, the consequences for patients and legal implications are significant. We present the case of a 53-year-old woman with no notable medical history, treated for renal lithiasis. Following the ureteroscopy, the patient experienced a sudden reduction in visual acuity. The diagnosis made was that of posterior ischemic optic neuropathy. This case illustrates a rare complication associated with ureteroscopy, highlighting the importance of increased awareness and rigorous postoperative monitoring, especially in patients with risk factors such as anemia or hypertension. Fortunately, the patient's rapid and complete recovery is encouraging, suggesting that early identification and appropriate management can lead to a favorable prognosis.
非眼科手术术后视力丧失是一种罕见但潜在严重的并发症。虽然在泌尿科较为少见,但对患者的影响和法律方面的影响都很重大。我们报告一例 53 岁女性,无明显病史,因肾结石接受治疗。输尿管镜检查后,患者视力突然下降。诊断为后部缺血性视神经病变。本例说明了与输尿管镜检查相关的罕见并发症,强调了提高认识和严格术后监测的重要性,尤其是对贫血或高血压等危险因素的患者。幸运的是,患者迅速完全恢复令人鼓舞,表明早期识别和适当的管理可以带来良好的预后。