The Operation Was a Success, but the Patient Cannot See

Anne E. Semmer, Michael S. Lee, Mehran Taban, Scott Smith, Gregory Kosmorsky

Research output: Contribution to journalArticlepeer-review


A 71-year-old African American woman presented with severe vision loss in her left eye one day following trabeculectomy with mitomycin C and retrobulbar anesthesia. She had a new left relative afferent pupillary defect and macular whitening. The optic disc appeared normal. Intraocular pressure and fluorescein angiography were normal. Westergren erythrocyte sedimentation rate and C-reactive protein were elevated. Temporal artery biopsy was positive for giant cell arteritis.

Original languageEnglish (US)
Pages (from-to)708-713
Number of pages6
JournalSurvey of Ophthalmology
Issue number6
StatePublished - Nov 2009

Bibliographical note

Funding Information:
The authors reported no proprietary or commercial interest in any product mentioned or concept discussed in this article. The manuscript was supported by unrestricted grant from Research to Prevent Blindness, New York, NY, and the Lions Club of Minnesota.

Copyright 2011 Elsevier B.V., All rights reserved.


  • central retinal artery occlusion
  • giant cell arteritis
  • ischemic optic neuropathy
  • postoperative vision loss
  • trabeculectomy


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