title: Ischemic optic neuropathy after hemiarthroplasty for femoral neck fracture.
abstract: Ischemic optic neuropathy due to hemorrhaging remote from visual pathway can occur after surgery. This complication is usually associated with a chronic bleeding disorder, such as gastrointestinal hemorrhage, diabetes, arteriosclerosis, and/or metal poisoning. There are many complications related to cemented hemiarthroplasty in patients who have a femoral neck fracture, such as dislocation, infection, leg length discrepancy, peroneal nerve palsy, and embolism. However, visual loss after this procedure has not previously been reported. In the case reported here, the operation time was short, and there was no massive hemorrhaging. Unilateral visual loss occurred within 3 days of an apparently safe and simple unilateral hemiarthroplasty of the hip.
authors.affiliation: Department of Orthopedic Surgery, Chonbuk National University Hospital, Research Institute of Clinical Medicine, Jeonju, South Korea.
authors.forename: Hong-Man
authors.initials: HM
authors.lastname: Cho
authors.forename: Myung-Sik
authors.initials: MS
authors.lastname: Park
authors.forename: Ki-Bum
authors.initials: KB
authors.lastname: Kim
authors.forename: Nam-Chun
authors.initials: NC
authors.lastname: Cho
mesh_terms: D000058:Accidental Falls; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001766:Blindness / Q000209:etiology*; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D006801:Humans; D018917:Optic Neuropathy, Ischemic / Q000209:etiology*; D012307:Risk Factors