The Operation Was a Success, but the Patient Cannot See
published online 07 September 2009.
Abstract
A 71-year-old African American woman presented with severe vision loss in her left eye one day following trabeculectomy with mitomycin C and retrobulbar anesthesia. She had a new left relative afferent pupillary defect and macular whitening. The optic disc appeared normal. Intraocular pressure and fluorescein angiography were normal. Westergren erythrocyte sedimentation rate and C-reactive protein were elevated. Temporal artery biopsy was positive for giant cell arteritis.
1Department of Ophthalmology, University of Minnesota, Minneapolis, Minnesota
2Department of Neurology, University of Minnesota, Minneapolis, Minnesota
3Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota
4Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio
Reprint address: Michael S. Lee, MD, 420 Delaware St SE, MMC 493, Minneapolis, MN 55455.
The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article. The manuscript was supported by unrestricted grant from Research to Prevent Blindness, New York, NY, and the Lions Club of Minnesota.