Compressive optic neuropathy secondary to an allergic reaction to hyaluronidase. / Neuropatía óptica compresiva secundaria a reacción alérgica a hialuronidasa.
Arch Soc Esp Oftalmol (Engl Ed)
; 94(9): 441-444, 2019 Sep.
Article
em En, Es
| MEDLINE
| ID: mdl-31280939
ABSTRACT
A 58 year-old woman presented with severe chemosis and ophthalmoparesis on her left eye 8hours after uncomplicated cataract surgery under sub-tenon anaesthesia. Recovery of extrinsic motility was observed after corticosteroid and antihistamine treatment, but a non-haemorrhagic papillary oedema and a concentric defect of visual field were found. It progressed to papillary atrophy with preserved central vision, but with a significant visual field constriction. The aetiological study revealed an allergy to hyaluronidase that was used as adjuvant to the anaesthesia. This complication needs to be promptly diagnosed and treated, as the swelling of the orbital tissues can cause damage to the optic nerve.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Doenças do Nervo Óptico
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Hipersensibilidade a Drogas
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Hialuronoglucosaminidase
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Adjuvantes Anestésicos
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Síndromes de Compressão Nervosa
Idioma:
En
/
Es
Ano de publicação:
2019
Tipo de documento:
Article