Loss of vision: a manifestation of TURP syndrome. A case report.
We report a case of transient blindness, part of a TURP syndrome, in a 65 year old man undergoing TUR of the prostate under centro-neuron block. Irrigating fluid consisted of 1.5% glycine. As a result, serum levels of glycine increased to 12,470 mols.l-1 (N176-332 mumols.l-1). We attribute this loss of vision to glycine toxicity.
Khan-Ghori
S N
SN
King Fahd Armed Forces Hospital, Jeddah, KSA.
Khalaf
M M
MM
Khan
R K
RK
Bakhameez
H S
HS
D000368:Aged; D000775:Anesthesia, Spinal; D000779:Anesthetics, Local / Q000008:administration & dosage; D001766:Blindness / Q000209:etiology*; D005998:Glycine / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007038:Hypotonic Solutions / Q000009:adverse effects; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D009407:Nerve Block; D011468:Prostatectomy / Q000009:adverse effects*; D007507:Therapeutic Irrigation / Q000009:adverse effects
D000779:Anesthetics, Local; D007038:Hypotonic Solutions; D008012:Lidocaine; D005998:Glycine