[Decreased visual acuity and loss of field of vision after inguinal hernia surgery].
A 60-year-old patient reported a slight decrease in visual acuity with loss of field of vision. He also noted a mild sense of vertigo and a feeling of "pressure in his head". He had undergone laparoscopic bilateral hernia repair 3 days before on an outpatient basis. Diagnostic work-up revealed shock-induced anterior ischemic optic neuropathy (AION) of the left eye. Without special treatment measures the head pressure and feeling of weakness subsided considerably in a spontaneous course within 24 h. Three months later partial optic atrophy of the affected eye was observed with stable visual acuity of 0.8 and unchanged loss of field of vision.
Stoffelns
B M
BM
Augenklinik der Johannes-Gutenberg-Universität, Langenbeckstrasse 1, 55131, Mainz. stoffelns@augen.klinik.uni-mainz.de
D006552:Hernia, Inguinal / Q000150:complications / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D018917:Optic Neuropathy, Ischemic / Q000175:diagnosis* / Q000209:etiology*; D014786:Vision Disorders / Q000175:diagnosis* / Q000209:etiology*