Hemorrhagic Retinopathy after Spondylosis Surgery and Seizure. Issue 8 (August 2015)

• Record Type: Journal Article
• Authors: Kord Valeshabad, Ali; Francis, Andrew W.; Setlur, Vikram; Chang, Peter; Mieler, William F.; Shahidi, Mahnaz
• Is Part Of: Optometry and vision science. Volume 92:Issue 8(2015)
• Publication Date: 2015-08
• Subjects: Optometry -- Periodicals; Physiological optics -- Periodicals; Vision disorders -- Periodicals; 617.7505
• DOI: 10.1097/OPX.0000000000000637
• Languages: English
• ISSNs: 1040-5488

Abstract

<abstract> <title>ABSTRACT</title> <sec> <title>Purpose</title> <p>To report bilateral hemorrhagic retinopathy in an adult female subject after lumbar spinal surgery and seizure.</p> </sec> <sec> <title>Case Report</title> <p>A 38-year-old woman presented with bilateral blurry vision and spots in the visual field. The patient had lumbar spondylosis surgery that was complicated by a dural tear with persistent cerebrospinal fluid leak. Visual symptoms started immediately after witnessed seizure-like activity. At presentation, visual acuity was 20/100 and 20/25 in the right and left eye, respectively. Dilated fundus examination demonstrated bilateral hemorrhagic retinopathy with subhyaloid, intraretinal, and subretinal involvement. At 4-month follow-up, visual acuity improved to 20/60 and 20/20 in the right and left eye, respectively. Dilated fundus examination and fundus photography showed resolution of retinal hemorrhages in both eyes.</p> </sec> <sec> <title>Conclusions</title> <p>The first case of bilateral hemorrhagic retinopathy after lumbar spondylosis surgery and witnessed seizure in an adult was reported. Ophthalmic examination may be warranted after episodes of seizure in adults.</p> </sec> </abstract>