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Related Experiment Videos

Bilateral retinal infarction associated with high dose dopamine.

E M Opremcak, F H Davidorf

    Annals of Ophthalmology
    |February 1, 1985
    PubMed
    Summary

    A hypoglycemic coma patient recovered neurologically but later developed neuroretinal infarction due to fulminant hepatitis. Early eye exams may prevent this severe complication.

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    Area of Science:

    • Hepatology
    • Neurology
    • Ophthalmology

    Background:

    • Fulminant hepatitis can lead to severe metabolic derangements and multi-organ dysfunction.
    • Hypoglycemic coma is a critical condition requiring immediate intervention.

    Observation:

    • A 30-year-old woman presented with hypoglycemic coma, successfully treated with intravenous glucose.
    • She was diagnosed with fulminant non-A-non-B hepatitis and later required intensive care support.
    • Ophthalmic examination revealed bilateral neuroretinal infarction.

    Findings:

    • Despite initial neurologic recovery, the patient developed severe complications including cardiovascular and respiratory compromise.
    • The case highlights a rare but devastating ophthalmic complication associated with fulminant hepatitis and critical illness.

    Implications:

    • Serial ophthalmologic examinations are crucial for early detection of neuroretinal infarction in critically ill hepatitis patients.
    • Prompt recognition and management of visual complications may improve patient outcomes.
    • This case underscores the importance of a multidisciplinary approach in managing complex critical care scenarios.

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