Incidental Transient Cortical Blindness after Lung Resection

Abstract Transient vision loss after major surgical procedures is a rare clinical complication. The most common etiologies are cardiac, spinal, head, and neck surgeries. There has been no report on vision loss after lung resection. A 65-year-old man was admitted to our clinic with lung cancer. Resec...

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Bibliographic Details
Published in:Surgery journal (New York) 2016-03, Vol.2 (1), p.e14-e16
Main Authors: Oncel, Murat, Sunam, Guven Sadi, Varoglu, Asuman Orhan, Karabagli, Hakan, Yildiran, Huseyin
Format: Article
Language:English
Subjects:
Case Report
cerebral hypoxia
cortical blindness
diabetes mellitus
lung resection
vision loss
Online Access:Get full text
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Summary:Abstract Transient vision loss after major surgical procedures is a rare clinical complication. The most common etiologies are cardiac, spinal, head, and neck surgeries. There has been no report on vision loss after lung resection. A 65-year-old man was admitted to our clinic with lung cancer. Resection was performed using right upper lobectomy with no complications. Cortical blindness developed 12 hours later in the postoperative period. Results from magnetic resonance imaging and diffusion-weighted investigations were normal. The neurologic examination was normal. The blood glucose level was 92 mg/dL and blood gas analysis showed a PO 2 of 82 mm Hg. After 24 hours, the patient began to see and could count fingers, and his vision was fully restored within 72 hours after this point. Autonomic dysfunction due to impaired microvascular structures in diabetes mellitus may induce posterior circulation dysfunction, even when the hemodynamic state is normal in the perioperative period. The physician must keep in mind that vision loss may occur after lung resection due to autonomic dysfunction, especially in older patients with diabetes mellitus.
ISSN:2378-5128
2378-5136
DOI:10.1055/s-0036-1571440