Bilateral central scotoma with preservation of central vision in 2 patients following caesarean section under spinal anesthesia.
Two female patients are described with acute bilateral central scotomata with preservation of central vision following spinal anesthesia. Both patients had a temporary drop in systemic blood pressure and underwent caesarean section with moderate blood loss. In order to explain the visual field defects extensive ophthalmological examination and CT-scanning with nuclear magnetic resonance imaging were performed. The hypothetical explanation for the visual field defects is transient macular ischemia.
Stilma
J S
JS
Department of Ophthalmology, Free University Hospital, Amsterdam, The Netherlands.
de Lange
J J
JJ
Crezee
F C
FC
D000328:Adult; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D002585:Cesarean Section; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D011247:Pregnancy; D012607:Scotoma / Q000209:etiology* / Q000503:physiopathology; D014785:Vision, Ocular; D058609:Visual Field Tests / Q000379:methods; D014794:Visual Fields