Vision loss after non-ophtalmic surgery is rare but destructive complication, which should be informed to the patient preoperatively.

  • A rare case of 59 year-old male patient who underwent double coronary bypass and successfully weaned from it but lost his vision within a week was reported in this.
  • Visual loss is a rare (0.0008% – 0.002%) and destructive complication for patients undergoing bypass surgery, as per the earlier literature.
  • The present patient was admitted for coronary artery disease, presented loss of senses and unstable angina. CABG was performed and the patient had returned to normal sinus rhythm.
  • Then after, on the afternoon of the fourth day, the patient complained for blindness on the left eye and six hours later had suffered complete visual loss.

Ophtalmological findings:

  • Oedema and discoloration of the papilla bilateral.
  • Treated with methylprednisolone but could not retrieve the clinical status.
  • VA counting fingers 5 meters OD.
  • Had 6/6 vision OS.
  • Had right pupillary defect, normal lens and IOP in both eyes.
  • Fundoscopy showed swollen optic disc in right eye, and small crowded disc left fundus.
  • No cotton wool spots or emboli in either retina.
  • Visual field of right eye was constricted with altitudinal defect.

Finally the diagnosis of non-arteritric anterior ischemic optic neuropathy was established.

Citation
Simogulu et al. Visual Loss after Cardiopulmonary Bypass (CABG) for Coronary Artery Disease: A Report of Case. World Journal of Cardiovascular Surgery. Vol.05 No.05(2015), Article ID:56657,3 pages

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