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Throat Surgery General Anesthesia Monocular Blindness Outcome Misrepresentation Rehabilitation Neglect Procedural Complications Lack of Accountability Delayed InterventionThe patient underwent throat surgery under general anesthesia and developed monocular blindness afterward.
Cerebral infarction with monocular blindness
This patient had documented carotid artery plaques on ultrasound performed on admission, placing him at elevated risk for cerebrovascular events. He then underwent two successive procedures under general anesthesia within a short period. Standard perioperative care for such patients should include heightened neurological monitoring during emergence from anesthesia, with specific documentation of visual function rather than a generic “alert and oriented” assessment. The timing and documentation of the neurological deficit are noteworthy. Family accounts describe immediate postoperative visual impairment in one eye, including difficulty accurately locating objects such as a straw. Nursing records first note blurred vision on March 6, five days after the second procedure. Imaging subsequently confirmed large acute infarcts. The case record emphasizes a possible underlying moyamoya-like vasculopathy, which may suggest a preexisting predisposition. However, the presence of carotid plaques and the perioperative context raise the possibility that the infarcts occurred around the time of surgery. Regardless of exact timing, the outcome was permanent monocular visual loss secondary to extensive cerebral infarction.
In this case the monocular blindness resulted from cerebral infarction that occurred beyond the 6-hour golden window for acute intervention, after which further treatment has diminishing effect on reducing sequelae. The platform’s intervention should therefore focus on prevention of the surgical indication itself. Obstructive sleep apnea syndrome is primarily driven by lifestyle factors. Entering older age, maintaining regular contact with this website represents the fundamental solution to such problems.
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