{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T11:55:03Z","timestamp":1789732503881,"version":"4.0.1"},"reference-count":18,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 44-year-old male European with type I diabetes mellitus fell into diabetic ketoacidosis. In the emergency room, he developed an episode of asystole and respiratory failure requiring one cycle of cardiopulmonary resuscitation and extracorporeal membrane oxygenation (ECMO). Waking up 7\u2005days later, he presented a bilateral complete loss of vision. Ophthalmological examination including funduscopy on days 1 and 10, after extubation, showed bilateral large round pupils non-reactive to light and a normal fundus. Neuroimaging studies, including MRI and MRA of the brain, were all within normal limits. A lumbar puncture and comprehensive serological testing excluded an infectious or rheumatic cause. An empirical high-dose intravenous steroid treatment administered for 5\u2005days had no effect on his vision. His eye examination at 1.5\u2005months follow-up showed a normal fundus except for progressive bilateral optic nerve disc pallor, which pointed towards the diagnosis of a posterior ischaemic optic neuropathy.<\/jats:p>","DOI":"10.1136\/bcr-2012-008291","type":"journal-article","created":{"date-parts":[[2013,2,15]],"date-time":"2013-02-15T05:59:00Z","timestamp":1360907940000},"page":"bcr2012008291","source":"Crossref","is-referenced-by-count":5,"title":["Bilateral posterior ischaemic optic neuropathy after severe diabetic ketoacidosis, cardiopulmonary resuscitation and respiratory failure"],"prefix":"10.1136","volume":"2013","author":[{"given":"Christina Doris","family":"Wirth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Leitner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Perrig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,2,14]]},"reference":[{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2000-6836"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00133273"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.3","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.58.12.955"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(01)01199-0"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.5","first-page":"171","article-title":"Ischaemic optic neuropathy","volume":"48","author":"Hayreh","year":"2000","journal-title":"Indian J Ophthalmol"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.6","doi-asserted-by":"publisher","DOI":"10.1016\/0026-0495(77)90103-2"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.7","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.64.11.826"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.8","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.2000.00212.x"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.9","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000139345.85653.AB"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.10","doi-asserted-by":"publisher","DOI":"10.1159\/000325141"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.11","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1159\/000309085","article-title":"Posterior ischemic optic neuropathy","volume":"182","author":"Hayreh","year":"1981","journal-title":"Ophthalmologica"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.12","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e3181b0500b"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(87)33236-1"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.14","first-page":"348","article-title":"Ischemic optic neuropathy following lumbar spine surgery","volume":"83","author":"Lee","year":"1995","journal-title":"Case Rep J Neurosurg"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.15","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(95)01108-0"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.16","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6701562"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.17","doi-asserted-by":"crossref","first-page":"123","DOI":"10.4103\/0301-4738.77024","article-title":"Management of ischemic optic neuropathies","volume":"59","author":"Hayreh","year":"2011","journal-title":"Indian J Ophthalmol"},{"key":"2025042702001110000_2013.feb14_1.bcr2012008291.18","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-008-0805-8"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-008291","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:00:17Z","timestamp":1745744417000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-008291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2,14]]},"references-count":18,"alternative-id":["10.1136\/bcr-2012-008291"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-008291","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2,14]]}}}