Nutritional optic neuropathy following bariatric surgery

Anna Sawicka-Pierko; Iwona Obuchowska; Hady Hady; Zofia Mariak; Jacek Dadan

doi:10.5114/wiitm.2014.47262

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

4/2014
vol. 9

Send email

Copy url:

abstract:

Case report

Nutritional optic neuropathy following bariatric surgery

Anna Sawicka-Pierko

,

Iwona Obuchowska

,

Hady Razak Hady

,

Zofia Mariak

,

Jacek Dadan

Videosurgery Miniinv 2014; 9 (4): 662–666

DOI: https://doi.org/10.5114/wiitm.2014.47262

Online publish date: 2014/11/28

View full text Get citation

PlumX metrics:

Bariatric procedures, associated with gastrointestinal malabsorption of vitamins and microelements, may constitute a risk factor for nutritional optic neuropathy (NON). We present a case of a 34-year-old female patient who developed bilateral NON after sleeve gastrectomy. Despite postoperative ophthalmological supervision, 10 months after the procedure the woman presented with a bilateral decrease in visual acuity down to 0.8, bilateral visual field loss and abnormal visual evoked potential recordings. Laboratory abnormalities included decreased serum concentration of vitamin B₁₂ (161 pg/ml). Treatment was based on intramuscular injections of vitamin B₁₂ (1000 units per day). After 1 week of the treatment, we observed more than a three-fold increase in the serum concentration of vitamin B₁₂ and resolution of the bilateral symptoms of NON. The incidence of NON is likely to increase due to the growing number of these bariatric procedures performed worldwide. Therefore, all persons subjected to such surgery should receive long-term ophthalmological follow-up and supplementation with vitamins and microelements.

keywords:

Nutritional optic neuropathy following bariatric surgery

Anna Sawicka-Pierko , Iwona Obuchowska , Hady Razak Hady , Zofia Mariak , Jacek Dadan

nutritional optic neuropathy, sleeve gastrectomy, vitamin B12 deficiency

Anna Sawicka-Pierko

,

Iwona Obuchowska

,

Hady Razak Hady

,

Zofia Mariak

,

Jacek Dadan

nutritional optic neuropathy, sleeve gastrectomy, vitamin B₁₂ deficiency