[Definitive transient monocular blindness caused by ocular compression during general anesthesia].
We present a case of irreversible monocular blindness caused by obstruction of the central retinal artery detected in a young patient without any previous history, when waking up from a surgical procedure performed under general anesthesia. Clinical and complementary investigations were not conclusive. Nevertheless, when inquiring on the surgical procedure, it appeared that the patient was lying in a procubitus position, so that his head may have slipped on the head support, resulting in compression on his right eyeball. The fact that the patient was simultaneously submitted to a controlled low blood pressure may have worsened the effects of the compression. Reviewing the medical literature on the subject reveals that, although rare, such accidents do occur; they must be prevented by a constant surveillance when performing surgical procedures.
Morin
Y
Y
Service de médecine interne, Centre Hospitalier National d'Ophtalmologie, Paris.
Renard-Charalabidis
C
C
Haut
J
J
D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects*; D000818:Animals; D001766:Blindness / Q000209:etiology*; D005131:Eye Injuries; D006801:Humans; D007023:Hypotension, Controlled / Q000009:adverse effects; D008297:Male; D011187:Posture; D015356:Retinal Artery Occlusion / Q000209:etiology*
Cécité monoculaire transitoire définitive par compression oculaire accidentelle au cours d'une anesthésie générale.