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A Murine Model of Ischemic Retinal Injury Induced by Transient Bilateral Common Carotid Artery Occlusion
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Incidental Transient Cortical Blindness after Lung Resection.

Murat Oncel1, Guven Sadi Sunam1, Asuman Orhan Varoglu2

  • 1Department of Thoracic Surgery, Selcuk University Medical School, Konya, Turkey.

Surgery Journal (New York, N.Y.)
|August 22, 2017
PubMed
Summary

Vision loss after lung surgery is rare. This case report highlights potential autonomic dysfunction in diabetic patients, leading to temporary blindness post-lung resection.

Keywords:
cerebral hypoxiacortical blindnessdiabetes mellituslung resectionvision loss

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Area of Science:

  • Ophthalmology
  • Neurology
  • Thoracic Surgery

Background:

  • Transient vision loss is a rare surgical complication, typically linked to cardiac, spinal, head, and neck procedures.
  • Vision loss following lung resection has not been previously reported in medical literature.

Observation:

  • A 65-year-old male patient developed cortical blindness 12 hours post-right upper lobectomy for lung cancer.
  • Neurological examination and imaging (MRI, diffusion-weighted) were normal; blood glucose and PO2 levels were within normal limits.

Findings:

  • The patient experienced complete visual recovery within 72 hours.
  • Postoperative vision loss in this case is hypothesized to be due to autonomic dysfunction affecting posterior circulation, potentially exacerbated by diabetes mellitus.

Implications:

  • This case suggests that autonomic dysfunction, particularly in older diabetic patients, can manifest as vision loss after lung resection.
  • Clinicians should consider this rare complication in the differential diagnosis of postoperative visual disturbances following thoracic surgery.