title: The operation was a success, but the patient cannot see.
abstract: A 71-year-old African American woman presented with severe vision loss in her left eye one day following trabeculectomy with mitomycin C and retrobulbar anesthesia. She had a new left relative afferent pupillary defect and macular whitening. The optic disc appeared normal. Intraocular pressure and fluorescein angiography were normal. Westergren erythrocyte sedimentation rate and C-reactive protein were elevated. Temporal artery biopsy was positive for giant cell arteritis.
authors.affiliation: Department of Ophthalmology, University of Minnesota, Minneapolis, Minnesota, USA.
authors.forename: Anne E
authors.initials: AE
authors.lastname: Semmer
authors.forename: Michael S
authors.initials: MS
authors.lastname: Lee
authors.forename: Mehran
authors.initials: M
authors.lastname: Taban
authors.forename: Scott
authors.initials: S
authors.lastname: Smith
authors.forename: Gregory
authors.initials: G
authors.lastname: Kosmorsky
mesh_terms: D000368:Aged; D001766:Blindness / Q000209:etiology*; D001799:Blood Sedimentation; D002097:C-Reactive Protein / Q000378:metabolism; D003131:Combined Modality Therapy; D005260:Female; D005451:Fluorescein Angiography; D013700:Giant Cell Arteritis / Q000175:diagnosis* / Q000188:drug therapy; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007262:Infusions, Intravenous; D007429:Intraocular Pressure; D008776:Methylprednisolone Hemisuccinate / Q000627:therapeutic use; D016685:Mitomycin / Q000008:administration & dosage*; D018917:Optic Neuropathy, Ischemic / Q000175:diagnosis; D011183:Postoperative Complications; D011241:Prednisone / Q000627:therapeutic use; D014130:Trabeculectomy; D014792:Visual Acuity
chemical_list: D005938:Glucocorticoids; D016685:Mitomycin; D008776:Methylprednisolone Hemisuccinate; D002097:C-Reactive Protein; D011241:Prednisone