Authors :
Olufunmilola A. OGUN; Oluwasanmi A. AJAGBE; Adefemi O. AFOLABI
Volume/Issue :
Volume 8 - 2023, Issue 5 - May
Google Scholar :
https://bit.ly/3TmGbDi
Scribd :
https://tinyurl.com/yc4hjpp2
DOI :
https://doi.org/10.5281/zenodo.8150054
Abstract :
Background: Post-operative vision loss
(POVL) following neck surgery is an uncommon and
devastating complication. While several intraoperative
and postoperative risk factors have been implicated, the
exact aetiology still remains unclear. We report a case of
bilateral POVL in a 62-year- old female patient with
multiple systemic comorbidities who had total
thyroidectomy following acute respiratory obstruction
from a huge compressive multinodular goitre. She had a
difficult intubation complicated by cardiac arrest in the
perioperative period. She noticed acute bilateral severe
vision loss on the second day post-thyroidectomy. She
was diagnosed with posterior ischaemic optic
neuropathy, and received a short course of intravenous
methylprednisolone. Thereafter, she slowly recovered
her vision over a period of 10 months. This case is
presented to highlight the complication that can occur
after total thyroidectomy in a patient with comorbidities.
Keywords :
Bilateral Visual Loss, Post Thyroidectomy, Comorbidities, Conservative Management, Case Report.
Background: Post-operative vision loss
(POVL) following neck surgery is an uncommon and
devastating complication. While several intraoperative
and postoperative risk factors have been implicated, the
exact aetiology still remains unclear. We report a case of
bilateral POVL in a 62-year- old female patient with
multiple systemic comorbidities who had total
thyroidectomy following acute respiratory obstruction
from a huge compressive multinodular goitre. She had a
difficult intubation complicated by cardiac arrest in the
perioperative period. She noticed acute bilateral severe
vision loss on the second day post-thyroidectomy. She
was diagnosed with posterior ischaemic optic
neuropathy, and received a short course of intravenous
methylprednisolone. Thereafter, she slowly recovered
her vision over a period of 10 months. This case is
presented to highlight the complication that can occur
after total thyroidectomy in a patient with comorbidities.
Keywords :
Bilateral Visual Loss, Post Thyroidectomy, Comorbidities, Conservative Management, Case Report.
