Traumatic optic neuropathy secondary to acupuncture treatment for glaucoma: A case report
Journal Title: Journal of Acute Disease - Year 2018, Vol 7, Issue 3
Abstract
Internal organ injuries have been recognized as a major complication of acupuncture. Reported ocular adverse events include traumatic cataract, oculomotor nerve injury, endophthalmitis and retinal puncture. We report a case of traumatic optic neuropathy and self-sealed globe perforation following acupuncture. A Chinese gentleman with primary open angle glaucoma presented with sudden loss of vision in the right eye after acupuncture therapy. The vision dropped to 2/60 from 6/6 premorbid. Relative afferent pupillary defect was present. Fundus examination showed hemorrhage from the optic disc into the vitreous. It is likely that the optic nerve injury occurred when the acupuncture needle was advanced deep into locations near the optic nerve. Main acupoints used in acupuncture treatment of glaucoma include Tongziliao GB-1, Jingming BL-1 and Chengqi ST-1. It is crucial to have a good understanding of ocular anatomy to avoid potentially blinding complications.
Authors and Affiliations
Wen Yee Lee, Wee Min Teh, Norlina Mohd Ramli, Ahmad Mt Saad
Keywords
Related Articles
- EP ID EP407379
- DOI 10.4103/2221-6189.236829
- Views 103
- Downloads 0
Conservative management for acute renal rupture in blunt trauma
Renal injuries are commonly reported in blunt abdominal trauma and are usually associated to other abdominal injuries. Renal rupture may be misdiagnosed and its management, especially in severe lesions, is still controve...
Preoperative embolization of skull-base tumors: Indications, utility, and concerns
Skull-base tumors are generally difficult to access compared with many other cranial lesions. Usually surgery remains the gold standard treatment for the majority of these tumors. However, in many cases, surgical resecti...
Research progress of transfering mitochondria application in nanotubes in treatment of acute lung injury sepsis
Acute lung injury (ALI) is a common complication of sepsis with characteristics of acute onset, rapid change in the disease and high mortality. Since current clinical treatment can only alleviate the unfavorable conditio...
An overview of the construction of emergency and pre-hospital first aid platform
To further improve the ability of pre-hospital and in-hospital collaborative treatment, strengthen emergency multidisciplinary cooperation and construct a scientific, rational and efficient emergency system, under the su...
Epidemiological and clinical data of patients with stings and bites at a medical center of Turkey
Objective: To analyze the epidemiological and clinical data of patients who were admitted to İnönü University Turgut Özal Medical Center Emergency Department with bites and stings between 2013 and 2015. Methods: Patients...