Bilateral anterior ischemic optic neuropathy following EHEC sepsis and hemolytic-uremic syndrome

Wortmann, T. and Jaegle, H. and Hufendiek, K. (2013) Bilateral anterior ischemic optic neuropathy following EHEC sepsis and hemolytic-uremic syndrome. OPHTHALMOLOGE, 110 (7). pp. 668-670. ISSN 0941-293X,

Full text not available from this repository. (Request a copy)

Abstract

After emerging from a coma caused by enterohemorrhagic Escherichia coli (EHEC) sepsis with severe neurological and renal involvement a 53-year-old female patient complained of blurred vision. Due to hemolytic-uremic syndrome (HUS) the patient also suffered from dialysis-dependent acute kidney failure. Horizontal visual field defects of the lower hemifield and corresponding segmental optic disc pallor were found in both eyes. Bilateral anterior ischemic optic neuropathy (AION) was diagnosed presumably caused by high volume shifting and hypotonia due to sepsis and dialysis. The literature revealed that bilateral AION is often seen after complex surgical procedures or in patients with severe metabolic disorders. This ophthalmologic complication should always be taken into consideration because of the serious permanent visual damage.

Item Type: Article
Uncontrolled Keywords: ; AION; Ophthalmologic complication; Visual loss in dialysis; Visual loss in sepsis; Visual field defect
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Augenheilkunde
Depositing User: Dr. Gernot Deinzer
Date Deposited: 07 Apr 2020 05:57
Last Modified: 07 Apr 2020 05:57
URI: https://pred.uni-regensburg.de/id/eprint/16416

Actions (login required)

View Item View Item