BACKGROUND: @entity3147 ( @entity3147 ) via a central venous catheter is routinely used for surgical @entity1 without a functioning gastrointestinal tract. Complications of @entity3147 can be metabolic and thrombotic. Blindness is a rare and unexpected complication. CASE: A young female @entity1 with @entity2203 was started on @entity3147 through an indwelling central venous catheter. On the sixth day of @entity3147 , the @entity1 reported @entity1018 . Examination revealed bilateral normal-sized pupils with normal pupillary reaction. There was complete bilateral absence of visual acuity with no perception of light. Fundus examination was normal. Magnetic resonance imaging revealed an acute @entity1188 in the @entity1625 , left corpus callosum, and posteromedial aspect of the left thalamus. No cardiac source of the @entity715 could be identified. After supportive treatment, the vision started improving after 3 days; recovery was 95% after 10 days. A feeding jejunostomy was performed urgently under local anesthesia, and 1 month of enteral nutrition was administered. One month after the event, the @entity1 's vision returned to normal. Definitive surgery in the form of antrectomy with Billroth II reconstruction was performed 8 weeks later. CONCLUSION: Blindness secondary to central venous catheterization is very rare; possible mechanisms are @entity49 with @entity999 , or accidental arterial puncture. Clinicians must exercise caution while using @entity3147 . A high index of suspicion is required to diagnose and treat unexpected complications.

Sudden-Onset Bilateral Blindness in a Young XXXX Receiving Parenteral Nutrition: Case Report and Review of Literature.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1018 :: ('MESH:D054062', 'Disease') :: ['sudden painless bilateral complete loss of vision'] @entity1625 :: ('MESH:D004828', 'Disease') :: ['left occipital lobe'] @entity999 :: ('MESH:D020766', 'Disease') :: ['paradoxical emboli, air emboli'] @entity49 :: ('MESH:D019851', 'Disease') :: ['venous thrombosis'] @entity2203 :: ('MESH:D011707', 'Disease') :: ['postcorrosive pyloric stenosis'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['infarct'] @entity3147 :: ('MESH:D044342', 'Disease') :: ['PN', 'Parenteral nutrition'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombus']
@entity1 :: (9606,Species) :: ['Girl']
