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Research Article Open access CC BY 3.0

Sudden Bilateral Blindness Following Massive Uterine Bleeding: Reports of 2 Cases

Chinyere Nnenne Pedro-Egbe, Elizabeth Awoyesuku

Journal of Advances in Medicine and Medical Research · pp. 254–259 · Published 29 Mar 2012

10.9734/BJMMR/2012/1000

Abstract

Background: Most cases of sudden blindness are due to vascular causes. Ischemic optic neuropathy is a rare cause of blindness reported most commonly in association with collagen-vascular diseases, infectious processes, and systemic hypotension related to massive exsanguinating hemorrhage. Aim: To report 2 cases of bilateral complete visual loss following massive uterine hemorrhage. Case Reports: Case 1 is a 23 year-old unmarried female student who first presented at our Eye Clinic on account of bilateral visual loss of 5 months duration. She had, had a septic abortion and profuse bleeding per vaginum for over a week before visual loss. Case 2 is a 39 year-old unmarried school teacher who presented on account of sudden bilateral visual loss of two months duration following myomectomy. Postoperatively, patient was transfused 4 pints of blood. Conclusion: Since sudden visual loss could follow non-ocular surgical procedures, surgeons must always be on the alert and ensure they avoid conditions that could predispose a patient to optic nerve ischemia; conditions such as perioperative drops in systemic blood pressure and hematocrit values. Normotension during and after surgery, is therefore vital in preventing optic nerve ischemia.

Sudden bilateral blindness massive uterine bleeding

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