Postoperative progressive visual loss

doi:10.1016/j.survophthal.2004.06.007

Postoperative progressive visual loss

2004-09-01

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DOI：10.1016/j.survophthal.2004.06.007

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Case Report. A 61-year-old man with no known history of systemic disease was admitted because of headache, nausea, and vomiting. The headache had started 10 days before admission and was becoming less responsive to analgesics. The physical and neurological examinations were within normal limits. A left parasagittal contrast enhancing mass was detected, first by computed tomography and then by magnetic resonance imaging (MRI) (Fig. 1). The diagnosis of meningioma was made. The patient under-went a gross total removal of the mass without entering the dural sinus. No intraoperative complications were recorded. The pathology report was consistent with the preoperative diagnosis of meningioma. The postoperative neurological evaluation revealed a right-sided hemiparesis more prominent in the lower extremity. Two days after the operation, the patient began to complain of blurred vision in his right eye. Visual acuity was 20/50 in the right eye, with a relative afferent pupillary defect (RAPD). The fundus evaluation was within normal limits. The visual acuity in the right eye deteriorated and at the 10th postoperative day the patient began to complain of visual blurring in the left eye. Visual acuity was count fingers in the right eye and 20/30 in the left, with a prominent right RAPD. Again no abnormality was detected in the fundus.

Keyword:

adenocarcinoma

cytology

metastasis

postoperative visual loss

Postoperative progressive visual loss

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