Severe sudden visual loss caused by pseudotumor cerebri and lumboperitoneal shunt failure.
作者信息
Liu G T, Volpe N J, Schatz N J, Galetta S L, Farrar J T, Raps E C
机构信息
Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
出版信息
Am J Ophthalmol. 1996 Jul;122(1):129-31. doi: 10.1016/s0002-9394(14)71981-6.
PURPOSE
Severe vistral acuity loss associated with pseudotumor cerebri is usually caused by chronic optic disk edema or a retinal abnormality.
METHODS
We treated a women, with known pseudotumor cerebri treated with a lumboperitoneal shunt, who developed acute pallied optic disk swelling and visual acuity of R.E.: no light perception and L.E.: 20/70 in association with lumboperitoneal shunt failure. There were no contributory retinal lesions.
RESULTS
The patient underwent optic nerve sheath fenestration and lumboperitoneal shunt revision. Visual acuity improved to 20/20 in both eyes. The papilledema resolved.
CONCLUSION
The severe sudden visual loss was attributed to axoplasmic stasis and optic nerve ischemia associated with a sudden rise in intracranial pressure.
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