title: [Bilateral amaurosis after spinal trauma].
abstract: This article presents the case of a 72-year-old male patient who suffered severe trauma of the spinal column. The patient developed persistent, bilateral, complete blindness after prolonged emergency neurosurgical treatment in a prone position. A bilateral surgical posterior ischemic optic neuropathy (PION) was diagnosed, which is a rare but severe complication of prolonged non-ocular surgery with circulatory stress. The massive, mostly bilateral, irreversible visual loss up to complete blindness leads to severe and permanent impairment of affected patients.
authors.affiliation: Abteilung für Augenheilkunde, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland. rudolfschimmel@bundeswehr.org.
authors.forename: R
authors.initials: R
authors.lastname: Schimmel
authors.affiliation: Abteilung für Augenheilkunde, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.
authors.forename: H O
authors.initials: HO
authors.lastname: Gümbel
authors.affiliation: Abteilung für Augenheilkunde, Bundeswehrkrankenhaus Ulm, Oberer Eselsberg 40, 89081, Ulm, Deutschland.
authors.forename: K J
authors.initials: KJ
authors.lastname: Lipke
mesh_terms: D000368:Aged; D001766:Blindness / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D018917:Optic Neuropathy, Ischemic / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D016103:Spinal Fractures / Q000150:complications / Q000601:surgery*
keywords: Complete blindness; Neurosurgery; Optic nerve; Posterior ischemic optic neuropathy; Visual acuity