[Loss of vision as a complication of acute pancreatitis].
A report is presented on two patients with severe visual loss and scotoma following an episode of alcohol-induced pancreatitis. A 35-year-old man with pancreatitis developed visual loss in both eyes. Ophthalmoscopic examination revealed extensive ischemic infarcts with bilateral hemorrhage and cotton-wool spots, a clinical picture similar to that of (post-traumatic) Purtscher's retinopathy. Goldmann visual fields demonstrated paracentral scotomas. Fundoscopic lesions had disappeared 3 months after the acute event and visual acuity improved gradually from 0.1 to 1.0. In a 36-year-old man, cerebral infarction was established by CT as a possible cause of visual loss. CSF examination revealed Sudan-III positive material suggesting cerebral fat embolism as the cause of cerebral infarcts. Visual fields showed central scotomas. During the 4-year follow-up period there was a gradual improvement in visual acuity.
Flaggl
E
E
Medizinische Klinik und Augenklinik, Kantonsspital Winterthur.
Heer
M
M
Hany
A
A
Branda
L
L
D000208:Acute Disease; D000328:Adult; D000437:Alcoholism / Q000150:complications*; D002544:Cerebral Infarction / Q000150:complications / Q000209:etiology; D004620:Embolism, Fat / Q000150:complications; D006801:Humans; D007238:Infarction; D008297:Male; D010195:Pancreatitis / Q000150:complications*; D012164:Retinal Diseases / Q000150:complications / Q000209:etiology*; D012171:Retinal Vessels; D012607:Scotoma / Q000209:etiology; D014786:Vision Disorders / Q000209:etiology*
Visusverlust als Komplikation der akuten Pankreatitis.