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Optic atrophy following jejunoileal bypass.
Journal of Clinical Neuro-Ophthalmology
|March 1, 1985
Summary
A woman developed optic neuropathy after jejunoileal bypass surgery. Echography showed swollen optic nerve sheaths, suggesting a new complication termed "optic nerve ascites syndrome."
Area of Science:
- Ophthalmology
- Bariatric Surgery Complications
- Neurology
Background:
- Jejunoileal bypass surgery was historically used for morbid obesity.
- Optic neuropathy is a rare but serious potential complication.
Observation:
- A 38-year-old woman presented with bilateral, progressive optic neuropathy.
- Symptoms emerged following jejunoileal bypass surgery for obesity.
Findings:
- Orbital echography revealed markedly swollen optic nerve sheaths.
- A positive 30-degree test indicated increased cerebrospinal fluid in the optic nerve subarachnoid space.
Implications:
- This case suggests a novel complication of jejunoileal bypass surgery, potentially the "optic nerve ascites syndrome."
- Further research is needed to understand the pathophysiology and incidence of this syndrome.