Vol. 5 (2021): International Journal of Case Reports
Case Reports

Post Appendectomy Blindness, Extremely rare complication after abdominal surgery

Maram Salah1, Mohannad Al-Tarakji2, Fakhar Shahid11, Syed Muhammad Ali2*, Khalid Ahmed2, Ahmad Zarour2
1Department of Surgery, Hamad Medical Corporation, P O Box 3050, Doha, Qatar. 2Department of Acute Care Surgery, Hamad Medical Corporation, P O Box 3050, Doha, Qatar.

Keywords

  • Appendectomy; Postoperative visual loss (POVL); Cortical blindness

How to Cite

Maram Salah1, Mohannad Al-Tarakji2, Fakhar Shahid11, Syed Muhammad Ali2*, Khalid Ahmed2, Ahmad Zarour2. (2021). Post Appendectomy Blindness, Extremely rare complication after abdominal surgery. International Journal of Case Reports, 5, 189. https://doi.org/10.28933/ijcr-2020-11-2805

Abstract

Perioperative visual loss (POVL) is a drastic complication that can result after ocular and more commonly non-ocular surgery, mostly reported after spine and cardiac bypass procedures. Despite the rarity of such complication, it has been reported following the abdominal surgeries. Overall, the most common cause of POVL is ischemic optic neuropathy but any pathology to the optical system from the cornea to the occipital lobe can lead to this rare phenomenon. Here, we are reporting the second case in the literature of post-operative visual loss after laparoscopic appendectomy. A young female, with no underlying disease, underwent laparoscopic appendectomy after septic shock secondary to acute appendicitis. Postoperatively, patient complained of complete blindness after extubation. Neurologic examination revealed bilateral near complete blindness, and hemodynamic ischemic stroke in the occipital cortex.

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