Ischemic optic neuropathy after hemiarthroplasty for femoral neck fracture.
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.
Cho
Hong-Man
HM
Department of Orthopedic Surgery, Chonbuk National University Hospital, Research Institute of Clinical Medicine, Jeonju, South Korea.
Park
Myung-Sik
MS
Kim
Ki-Bum
KB
Cho
Nam-Chun
NC
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