title: Cortical blindness after a failed free tissue transfer: a case report and review of the literature.
abstract: Cortical blindness is an uncommon but well-documented entity that results from occipital ischemia or insult. We present a case of blindness following a failed free tissue transfer and review the pertinent literature. Careful history and physical examination can usually distinguish cortical blindness from other organic or psychogenic causes. The workup centers on the exclusion of treatable concurrent pathology. Despite the dramatic presentation of cortical blindness, its treatment is generally supportive and the prognosis for full recovery is excellent.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
authors.forename: R E
authors.initials: RE
authors.lastname: Tuchler
authors.forename: A T
authors.initials: AT
authors.lastname: Lyos
authors.forename: A M
authors.initials: AM
authors.lastname: Rainey
authors.forename: M M
authors.initials: MM
authors.lastname: Anous
mesh_terms: D001766:Blindness / Q000209:etiology*; D002545:Brain Ischemia / Q000150:complications* / Q000209:etiology; D018427:Breast Implants / Q000009:adverse effects; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D009778:Occipital Lobe / Q000098:blood supply; D012086:Reoperation; D013524:Surgical Flaps / Q000009:adverse effects*; D014793:Visual Cortex / Q000098:blood supply