Vision loss 2 weeks after uneventful optic nerve sheath fenestration surgery may be attributed to retinal reperfusion injury.
OBJECTIVE
The purpose of this study was to report a rare case of retinal reperfusion injury after optic nerve sheath fenestration surgery.


METHODS
Single patient case report.


RESULTS
A 58-year-old African American woman presented with severe visual loss in the right eye 2 weeks after optic nerve sheath fenestration surgery. Retinal examination at presentation showed severe arterial narrowing and the appearance of new intraretinal hemorrhages. Fluorescein angiography demonstrated delayed venous filling.


CONCLUSIONS
Severe visual loss after optic nerve sheath fenestration procedure is uncommon. This case may represent the first reported case of reperfusion injury in human eyes.
Department of Ophthalmology and Visual Sciences, University of Louisville, Louisville, Kentucky.
Motasem M
MM
Al-Latayfeh
Shlomit
S
Schaal