RESUMEN
BACKGROUND: We describe progressive optic neuropathy after recurrent disc hemorrhages in patients with primary angle-closure glaucoma. CASES: Three Taiwanese Chinese patients with primary angle-closure glaucoma and recurrent disc hemorrhages were followed for 10 years. OBSERVATIONS: Despite good control of intraocular pressure, progressive enlargement of optic disc cupping and visual field defects corresponding to the location of disc hemorrhages were noted after recurrent hemorrhages. CONCLUSIONS: Disc hemorrhages are not particularly rare in primary angle-closure glaucoma and may be a sign of a poor prognosis.
Asunto(s)
Glaucoma de Ángulo Cerrado/fisiopatología , Disco Óptico/fisiopatología , Enfermedades del Nervio Óptico/fisiopatología , Hemorragia Retiniana/fisiopatología , Anciano , Anciano de 80 o más Años , Progresión de la Enfermedad , Femenino , Estudios de Seguimiento , Humanos , Presión Intraocular , Masculino , Pronóstico , Recurrencia , Escotoma/fisiopatología , Pruebas del Campo Visual , Campos VisualesRESUMEN
PURPOSE: To report a rare complication of retrobulbar anesthesia with ipsilateral globe penetration and transient contralateral amaurosis. DESIGN: Interventional case report. METHODS: A 63-year-old woman complained of vision loss in the right eye immediately following cataract surgery on the left eye. RESULTS: Right eye vision decreased to no light perception with clear media and normal fundus. The vision recovered to baseline in 12 hours. Left eye vision was checked and demonstrated only light perception. Fundus examination disclosed preretinal and vitreous hemorrhage. During vitrectomy of the left eye, a penetrating wound below the optic disk with retinal detachment was found. CONCLUSION: The ipsilateral globe penetration wound depicts the mechanism of contralateral amaurosis following retrobulbar anesthesia of the case.