Publication Date: 2023/07/15
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.
DOI: https://doi.org/10.5281/zenodo.8150054
PDF: https://ijirst.demo4.arinfotech.co/assets/upload/files/IJISRT23MAY1324.pdf
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