Postoperative bilateral visual loss after a single dose of tranexamic acid

IF 0.8 Q3 ANESTHESIOLOGY
B. Chevalley, M. Betello, E. Blavakis, A. Malclès, J. Maillard
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引用次数: 0

Abstract

A 32-year-old woman presented with transient visual loss following the intra-operative administration of a single intravenous dose of tranexamic acid during urgent cholecystectomy. Apart from obesity, the patient had no notable medical history or pre-existing ocular conditions. Immediately after surgery, the patient reported sudden onset blindness. Ophthalmological and radiologic assessments did not reveal any detectable macrovascular or organic ophthalmic lesions. The patient's vision gradually improved spontaneously, with the resolution of the dyschromatopsia on the first postoperative day and complete recovery by the second postoperative day. This case highlights the importance of prompt investigation of acute visual impairment postoperatively and identifying potential causative agents, such as tranexamic acid.

单剂量氨甲环酸术后双侧视力丧失
一例32岁妇女在急诊胆囊切除术中,术中单次静脉注射氨甲环酸后出现短暂性视力丧失。除肥胖外,患者无明显病史或既往眼部疾病。手术后,患者立即报告突然失明。眼科和放射学评估未发现任何可检测的大血管或器质性病变。患者视力逐渐自发改善,术后第一天色光不良消退,术后第二天完全恢复。这个病例强调了术后急性视力损害及时调查和识别潜在病原体(如氨甲环酸)的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
1.30
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0.00%
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