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Sudden Consecutive Bilateral Amaurosis Secondary to Central Retinal Artery Occlusion After Kidney Transplantation

Central retinal artery occlusion (CRAO) is a medical emergency, considered a stroke equivalent by the American Heart Association. There are a few reported cases of bilateral CRAO, most of them occurring in the context of a systemic predisposing condition. We present a case of bilateral CRAO followin...

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Autores principales: Rego-Lorca, Daniela, Burgos-Blasco, Bárbara, Moreno-Morillo, Francisco Javier, Valverde-Megías, Alicia, Fernández-Vigo, José Ignacio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957586/
https://www.ncbi.nlm.nih.gov/pubmed/36843685
http://dx.doi.org/10.7759/cureus.34204
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author Rego-Lorca, Daniela
Burgos-Blasco, Bárbara
Moreno-Morillo, Francisco Javier
Valverde-Megías, Alicia
Fernández-Vigo, José Ignacio
author_facet Rego-Lorca, Daniela
Burgos-Blasco, Bárbara
Moreno-Morillo, Francisco Javier
Valverde-Megías, Alicia
Fernández-Vigo, José Ignacio
author_sort Rego-Lorca, Daniela
collection PubMed
description Central retinal artery occlusion (CRAO) is a medical emergency, considered a stroke equivalent by the American Heart Association. There are a few reported cases of bilateral CRAO, most of them occurring in the context of a systemic predisposing condition. We present a case of bilateral CRAO following kidney transplantation. This 58-year-old man suffered CRAO in the right eye 24 hours after having kidney transplantation surgery. Treatment with an intravenous bolus of high-dose corticosteroids and full-dose anticoagulation therapy was initiated. However, 48 hours later, the patient suffered contralateral CRAO, resulting in irreversible bilateral amaurosis. CRAO is a rare but devastating complication of non-ophthalmological surgery and must be considered in postoperative patients with visual complaints. CRAO may have different causal mechanisms, but due to the similarity of their clinical manifestations, accurate etiology is not always easy to establish. Given the importance of an early diagnosis, all physicians should know about its risk factors and be aware of how patients with suspected CRAO must be rapidly referred for general and ophthalmological evaluation.
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spelling pubmed-99575862023-02-25 Sudden Consecutive Bilateral Amaurosis Secondary to Central Retinal Artery Occlusion After Kidney Transplantation Rego-Lorca, Daniela Burgos-Blasco, Bárbara Moreno-Morillo, Francisco Javier Valverde-Megías, Alicia Fernández-Vigo, José Ignacio Cureus Emergency Medicine Central retinal artery occlusion (CRAO) is a medical emergency, considered a stroke equivalent by the American Heart Association. There are a few reported cases of bilateral CRAO, most of them occurring in the context of a systemic predisposing condition. We present a case of bilateral CRAO following kidney transplantation. This 58-year-old man suffered CRAO in the right eye 24 hours after having kidney transplantation surgery. Treatment with an intravenous bolus of high-dose corticosteroids and full-dose anticoagulation therapy was initiated. However, 48 hours later, the patient suffered contralateral CRAO, resulting in irreversible bilateral amaurosis. CRAO is a rare but devastating complication of non-ophthalmological surgery and must be considered in postoperative patients with visual complaints. CRAO may have different causal mechanisms, but due to the similarity of their clinical manifestations, accurate etiology is not always easy to establish. Given the importance of an early diagnosis, all physicians should know about its risk factors and be aware of how patients with suspected CRAO must be rapidly referred for general and ophthalmological evaluation. Cureus 2023-01-25 /pmc/articles/PMC9957586/ /pubmed/36843685 http://dx.doi.org/10.7759/cureus.34204 Text en Copyright © 2023, Rego-Lorca et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Rego-Lorca, Daniela
Burgos-Blasco, Bárbara
Moreno-Morillo, Francisco Javier
Valverde-Megías, Alicia
Fernández-Vigo, José Ignacio
Sudden Consecutive Bilateral Amaurosis Secondary to Central Retinal Artery Occlusion After Kidney Transplantation
title Sudden Consecutive Bilateral Amaurosis Secondary to Central Retinal Artery Occlusion After Kidney Transplantation
title_full Sudden Consecutive Bilateral Amaurosis Secondary to Central Retinal Artery Occlusion After Kidney Transplantation
title_fullStr Sudden Consecutive Bilateral Amaurosis Secondary to Central Retinal Artery Occlusion After Kidney Transplantation
title_full_unstemmed Sudden Consecutive Bilateral Amaurosis Secondary to Central Retinal Artery Occlusion After Kidney Transplantation
title_short Sudden Consecutive Bilateral Amaurosis Secondary to Central Retinal Artery Occlusion After Kidney Transplantation
title_sort sudden consecutive bilateral amaurosis secondary to central retinal artery occlusion after kidney transplantation
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9957586/
https://www.ncbi.nlm.nih.gov/pubmed/36843685
http://dx.doi.org/10.7759/cureus.34204
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