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Acute Bilateral Visual Loss Associated With Retinal Hemorrhages Following Epiduroscopy
Arch Ophthalmol. 2000;118:287-289.
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Acute bilateral visual loss associated with retinal hemorrhages following epidural steroid injection or gas myelography has been described.1-3 To our knowledge, we report the first case of acute bilateral visual loss associated with preretinal, retinal, and subretinal hemorrhages occurring after epiduroscopy, a diagnostic and therapeutic procedure that allows visualization of the spinal cord and epidural space in patients with chronic back pain.
Report of a Case
An 80-year-old woman whose medical history was significant only for chronic back pain and bilateral lower extremity weakness unresponsive to medical management underwent diagnostic epiduroscopy. The patient was brought to the operating room and placed in the prone position. Needle placement in the epidural space was confirmed with fluoroscopic guidance in 3 views. A guidewire was inserted and the scope apparatus was introduced. Visualization of the epidural space was allowed via saline instillation at a pressure not exceeding 60 mm Hg for a period of less than 5 . . . [Full Text of this Article]
Comment
Reprints: Timothy G. Murray, MD, Bascom Palmer Eye Institute, 900 NW 17th St, Miami, FL 33136.
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