Perioperative visual loss in ocular and nonocular surgery

Kathleen T Berg, Andrew R Harrison, Michael S LeeDepartment of Ophthalmology, University of Minnesota, Minneapolis, MN, USAAbstract: Incidence estimates for perioperative vision loss (POVL) after nonocular surgery range from 0.013% for all surgeries up to 0.2% following spine surgery. The most commo...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kathleen T Berg, Andrew R Harrison, Michael S Lee
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/b136fd006ec94c1089bf023d3c864d3e
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b136fd006ec94c1089bf023d3c864d3e
record_format	dspace
spelling	oai:doaj.org-article:b136fd006ec94c1089bf023d3c864d3e2021-12-02T02:33:45ZPerioperative visual loss in ocular and nonocular surgery1177-54671177-5483https://doaj.org/article/b136fd006ec94c1089bf023d3c864d3e2010-06-01T00:00:00Zhttp://www.dovepress.com/perioperative-visual-loss-in-ocular-and-nonocular-surgery-a4574https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Kathleen T Berg, Andrew R Harrison, Michael S LeeDepartment of Ophthalmology, University of Minnesota, Minneapolis, MN, USAAbstract: Incidence estimates for perioperative vision loss (POVL) after nonocular surgery range from 0.013% for all surgeries up to 0.2% following spine surgery. The most common neuro-ophthalmologic causes of POVL are the ischemic optic neuropathies (ION), either anterior (AION) or posterior (PION). We identified 111 case reports of AION following nonocular surgery in the literature, with most occurring after cardiac surgery, and 165 case reports of PION following nonocular surgery, with most occurring after spine surgery or radical neck dissection. There were an additional 526 cases of ION that did not specify if the diagnosis was AION or PION. We also identified 933 case reports of central retinal artery occlusion (CRAO), 33 cases of pituitary apoplexy, and 245 cases of cortical blindness following nonocular surgery. The incidence of POVL following ocular surgery appears to be much lower than that seen following nonocular surgery. We identified five cases in the literature of direct optic nerve trauma, 47 cases of AION, and five cases of PION following ocular surgery. The specific pathogenesis and risk factors underlying these neuro-ophthalmic complications remain unknown, and physicians should be alert to the potential for loss of vision in the postoperative period.Keywords: perioperative, postoperative, vision loss, ocular surgery, nonocular surgery Kathleen T BergAndrew R HarrisonMichael S LeeDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2010, Iss default, Pp 531-546 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Kathleen T Berg Andrew R Harrison Michael S Lee Perioperative visual loss in ocular and nonocular surgery
description	Kathleen T Berg, Andrew R Harrison, Michael S LeeDepartment of Ophthalmology, University of Minnesota, Minneapolis, MN, USAAbstract: Incidence estimates for perioperative vision loss (POVL) after nonocular surgery range from 0.013% for all surgeries up to 0.2% following spine surgery. The most common neuro-ophthalmologic causes of POVL are the ischemic optic neuropathies (ION), either anterior (AION) or posterior (PION). We identified 111 case reports of AION following nonocular surgery in the literature, with most occurring after cardiac surgery, and 165 case reports of PION following nonocular surgery, with most occurring after spine surgery or radical neck dissection. There were an additional 526 cases of ION that did not specify if the diagnosis was AION or PION. We also identified 933 case reports of central retinal artery occlusion (CRAO), 33 cases of pituitary apoplexy, and 245 cases of cortical blindness following nonocular surgery. The incidence of POVL following ocular surgery appears to be much lower than that seen following nonocular surgery. We identified five cases in the literature of direct optic nerve trauma, 47 cases of AION, and five cases of PION following ocular surgery. The specific pathogenesis and risk factors underlying these neuro-ophthalmic complications remain unknown, and physicians should be alert to the potential for loss of vision in the postoperative period.Keywords: perioperative, postoperative, vision loss, ocular surgery, nonocular surgery
format	article
author	Kathleen T Berg Andrew R Harrison Michael S Lee
author_facet	Kathleen T Berg Andrew R Harrison Michael S Lee
author_sort	Kathleen T Berg
title	Perioperative visual loss in ocular and nonocular surgery
title_short	Perioperative visual loss in ocular and nonocular surgery
title_full	Perioperative visual loss in ocular and nonocular surgery
title_fullStr	Perioperative visual loss in ocular and nonocular surgery
title_full_unstemmed	Perioperative visual loss in ocular and nonocular surgery
title_sort	perioperative visual loss in ocular and nonocular surgery
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/b136fd006ec94c1089bf023d3c864d3e
work_keys_str_mv	AT kathleentberg perioperativevisuallossinocularandnonocularsurgery AT andrewrharrison perioperativevisuallossinocularandnonocularsurgery AT michaelslee perioperativevisuallossinocularandnonocularsurgery
_version_	1718402432680067072

Perioperative visual loss in ocular and nonocular surgery

Ejemplares similares