Bilateral central retinal/ophthalmic artery occlusion and near-complete ophthalmoplegia after bilateral lung transplant.

ABSTRACT:

Purpose

Recognize a rare yet existing risk of severe visual loss as a postoperative complication of bilateral lung transplant.

Observations

A 62-year-old male had undergone bilateral lung transplant for end-stage idiopathic pulmonary fibrosis and emphysema overlap syndrome. The operation was initially off-pump; however, during the left lung transplantation, cardiopulmonary bypass conversion was necessary to maintain intraoperative hemodynamic stability. On post-operative day 4, shortly after extubation and full recovery from sedation, the patient reported bilateral no light perception vision. There were no other associated neurologic symptoms. A computed tomographic (CT) of the head, cranial magnetic resonance (MR) scan of the head, MR angiogram of the circle of Willis and n

SUBMITTER: Rady N 

PROVIDER: S-EPMC6880121 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature