Survey of Ophthalmology
Volume 54, Issue 6 , Pages 708-713, November 2009

The Operation Was a Success, but the Patient Cannot See

  • Anne E. Semmer, BS

      Affiliations

    • Department of Ophthalmology, University of Minnesota, Minneapolis, Minnesota
    • ,
  • Michael S. Lee, MD

      Affiliations

    • Department of Ophthalmology, University of Minnesota, Minneapolis, Minnesota
    • Department of Neurology, University of Minnesota, Minneapolis, Minnesota
    • Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota
    • Corresponding Author InformationReprint address: Michael S. Lee, MD, 420 Delaware St SE, MMC 493, Minneapolis, MN 55455.
    • ,
  • Mehran Taban, MD

      Affiliations

    • Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio
    • ,
  • Scott Smith, MD

      Affiliations

    • Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio
    • ,
  • Gregory Kosmorsky, DO

      Affiliations

    • Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio

published online 07 September 2009.

Peter Savino and Helen Danesh-Meyer, Editors

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.

Key words: giant cell arteritis, ischemic optic neuropathy, central retinal artery occlusion, postoperative vision loss, trabeculectomy

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 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.

PII: S0039-6257(09)00152-0

doi:10.1016/j.survophthal.2009.06.002

Survey of Ophthalmology
Volume 54, Issue 6 , Pages 708-713, November 2009

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