Bilateral anterior ischemic optic neuropathy after bilateral neck dissection

Bilateral anterior ischemic optic neuropathy after bilateral neck dissection

María J Suárez-Fernández, Antonio Clariana-Martín, Enrique Mencía-Gutiérrez, Esperanza Gutiérrez-Díaz, Teresa Gracia-García-MiguelOphthalmology Department, 12 de Oct...

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Autores principales: María J Suárez-Fernández, Antonio Clariana-Martín, Enrique Mencía-Gutiérrez, et al
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2010
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Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/67976f529bc0459fa4f6573a1abf6d93
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spelling oai:doaj.org-article:67976f529bc0459fa4f6573a1abf6d932021-12-02T03:20:36ZBilateral anterior ischemic optic neuropathy after bilateral neck dissection1177-54671177-5483https://doaj.org/article/67976f529bc0459fa4f6573a1abf6d932010-02-01T00:00:00Zhttp://www.dovepress.com/bilateral-anterior-ischemic-optic-neuropathy-after-bilateral-neck-diss-a4016https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483María J Suárez-Fernández, Antonio Clariana-Martín, Enrique Mencía-Gutiérrez, Esperanza Gutiérrez-Díaz, Teresa Gracia-García-MiguelOphthalmology Department, 12 de Octubre Hospital, Complutense University, Madrid, SpainPurpose: The risk of visual loss after nonocular surgeries is very low, between 0.2% and 4.5%. According to the American Society of Anesthesiologists, ischemic optic neuropathy has been reported mostly after spinal surgery (54.2%), followed by cardiac surgery and radical neck dissection (13.3%). It may occur in association with some conditions that include systemic hypotension, acute blood loss and hypovolemia.Case report: A 46-year-old woman, whose diagnosis was laryngeal squamous cell carcinoma, complained of visual loss in her right eye two days after surgery (laryngectomy with bilateral radical neck dissection and left jugular ligature) and one day later in her left eye. The diagnosis was nonarteritic anterior ischemic optic neuropathy.Conclusion: Anterior ischemic optic neuropathy related to nonocular surgery is usually bilateral and its prognosis is very poor, resulting in blindness or severe visual loss. Although rare, patients should be warned about this complication, which has a profound impact on quality of life, since no therapeutic measure, including correction of hypotension and anemia, seems to improve the prognosis of this complication.Keywords: ischemic optic neuropathy, visual loss, radical neck dissection, blood loss María J Suárez-FernándezAntonio Clariana-MartínEnrique Mencía-Gutiérrezet alDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2010, Iss default, Pp 95-100 (2010)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
María J Suárez-Fernández
Antonio Clariana-Martín
Enrique Mencía-Gutiérrez
et al
Bilateral anterior ischemic optic neuropathy after bilateral neck dissection
description María J Suárez-Fernández, Antonio Clariana-Martín, Enrique Mencía-Gutiérrez, Esperanza Gutiérrez-Díaz, Teresa Gracia-García-MiguelOphthalmology Department, 12 de Octubre Hospital, Complutense University, Madrid, SpainPurpose: The risk of visual loss after nonocular surgeries is very low, between 0.2% and 4.5%. According to the American Society of Anesthesiologists, ischemic optic neuropathy has been reported mostly after spinal surgery (54.2%), followed by cardiac surgery and radical neck dissection (13.3%). It may occur in association with some conditions that include systemic hypotension, acute blood loss and hypovolemia.Case report: A 46-year-old woman, whose diagnosis was laryngeal squamous cell carcinoma, complained of visual loss in her right eye two days after surgery (laryngectomy with bilateral radical neck dissection and left jugular ligature) and one day later in her left eye. The diagnosis was nonarteritic anterior ischemic optic neuropathy.Conclusion: Anterior ischemic optic neuropathy related to nonocular surgery is usually bilateral and its prognosis is very poor, resulting in blindness or severe visual loss. Although rare, patients should be warned about this complication, which has a profound impact on quality of life, since no therapeutic measure, including correction of hypotension and anemia, seems to improve the prognosis of this complication.Keywords: ischemic optic neuropathy, visual loss, radical neck dissection, blood loss
format article
author María J Suárez-Fernández
Antonio Clariana-Martín
Enrique Mencía-Gutiérrez
et al
author_facet María J Suárez-Fernández
Antonio Clariana-Martín
Enrique Mencía-Gutiérrez
et al
author_sort María J Suárez-Fernández
title Bilateral anterior ischemic optic neuropathy after bilateral neck dissection
title_short Bilateral anterior ischemic optic neuropathy after bilateral neck dissection
title_full Bilateral anterior ischemic optic neuropathy after bilateral neck dissection
title_fullStr Bilateral anterior ischemic optic neuropathy after bilateral neck dissection
title_full_unstemmed Bilateral anterior ischemic optic neuropathy after bilateral neck dissection
title_sort bilateral anterior ischemic optic neuropathy after bilateral neck dissection
publisher Dove Medical Press
publishDate 2010
url https://doaj.org/article/67976f529bc0459fa4f6573a1abf6d93
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