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Ischemic optic neuropathy in robotic-assisted gynaecologic surgery: A case report
1Faculty of Medicine Ophthalmology Department, Cukurova University, Adana, Turkey.
The Journal of Obstetrics and Gynaecology Research
|December 7, 2018
Summary
This case report details a rare instance of non-arteritic anterior ischemic optic neuropathy (NAION) occurring after gynecologic surgery. Prompt treatment led to vision recovery, highlighting an uncommon cause of perioperative visual loss.
Area of Science:
- Ophthalmology
- Neurology
- Surgical Innovation
Background:
- Perioperative visual loss is a rare but serious complication following surgery.
- Robotic-assisted gynecologic surgery is increasingly common, necessitating an understanding of its potential risks.
- Non-arteritic anterior ischemic optic neuropathy (NAION) is an uncommon cause of vision impairment.
Observation:
- A 58-year-old female experienced vision loss in her right eye post-robotic-assisted hysterectomy and salpingo-oopherectomy.
- Fundoscopy revealed optic disc edema and splinter hemorrhages.
- Fluorescein angiography demonstrated characteristic early hypofluorescence and late hyperfluorescence of the optic disc.
Findings:
- Diagnosis of non-arteritic anterior ischemic optic neuropathy (NAION) in the right eye was confirmed.
- The patient received intravenous methylprednisolone, topical brimonidine, and coenzyme-Q.
- Significant visual recovery was noted within one month of follow-up.
Implications:
- This case highlights NAION as a potential, albeit rare, complication of robotic-assisted gynecologic procedures.
- Early diagnosis and management are crucial for visual outcome.
- Further research into the mechanisms and prevention of perioperative NAION is warranted.
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