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Temporary blindness in the TUR syndrome

J P Barletta¹, M M Fanous, L M Hamed

¹Department of Ophthalmology, University of Florida College of Medicine, Gainesville 32610-0284.

Journal of Neuro-Ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society

|March 1, 1994

Summary

Transurethral resection (TUR) syndrome, a rare complication of prostate surgery, can cause temporary blindness. This case report explores the potential causes of visual disturbances in patients with TUR syndrome.

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Area of Science:

Neurosurgery
Ophthalmology
Urology

Background:

Transurethral resection (TUR) syndrome is a rare but serious complication associated with endoscopic prostate surgery.
It presents with a constellation of circulatory, gastrointestinal, and neurologic symptoms.
The use of nonconductive irrigating fluids during the procedure is a key factor.

Observation:

The TUR syndrome can manifest with profound, bilateral vision loss in affected patients.
This visual disturbance is an infrequent but significant clinical sign.
The current report details a specific patient case experiencing temporary blindness.

Findings:

The study investigates the potential etiology of visual loss in TUR syndrome.
It speculates on the specific localization of dysfunction within the visual pathway.

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The case highlights the neurological impact of the syndrome.

Implications:

Understanding the pathogenesis of visual loss in TUR syndrome is crucial for prompt diagnosis and management.
This research may lead to improved monitoring and preventative strategies for patients undergoing prostate surgery.
Further investigation into the neuro-ophthalmic complications of TUR syndrome is warranted.