Bilateral retinal infarction associated with high dose dopamine

A 30-year-old unconscious woman in a hypoglycemic coma responded rapidly to intravenous glucose administration with full neurologic recovery. She was diagnosed with fulminant non-A-non-B hepatitis. On the fourth hospital day, she became suddenly lethargic and required dopamine and dobutamine for respiratory and cardiovascular support. Ophthalmic examination revealed clinical manifestations consistent with bilateral neuroretinal infarction. She died on the tenth hospital day. Careful serial ophthalmologic examinations may serve to prevent the occurrence of such a devastating complication in the setting of otherwise life-saving medical management.