Perioperative visual loss with non-ocular surgery: Case report and review of literature

Perioperative visual loss (POVL), a rare but devastating complication, has been reported after spine, cardiac, and head-neck surgeries.The various causes include ischemic optic neuropathy, central or branch retinal artery occlusion, and cortical blindness. The contributory factors described are micr...

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Bibliographic Details
Main Authors:	Nidhi Pandey, Ashok K Chandrakar, Mangi L Garg
Format:	Article
Language:	English
Published:	Wolters Kluwer Medknow Publications 2014-01-01
Series:	Indian Journal of Ophthalmology
Subjects:	Mean deviation non-proliferative diabetic retinopathy short fluctuations short wave automated perimetry standard automated perimetry Antimicrobial effect conventional silicone oil endophthalmitis agents heavy silicone oil Keratoconus modified deep anterior lamellar keratoplasty steep corneal curvature Bevacizumab branch retinal vein occlusion intravitreal macular edema triamcinolone Blindness disability evaluation quality of life visual acuity Mitomycin C pterygium recurrence pterygium surgery subconjunctival bevacizumab injection Imaging in glaucoma optical coherence tomography pediatric retinal nerve fiber layer Autogenous tissue grafting lacrimal drainage system lacrimal fossa bypass surgery Cornea excimer laser growth factors myopia photorefractive keratectomy Triamcinolone acetonide human trabecular meshwork cells in vitro Hyperopic implantable collamer lens myopic implantable collamer lens optical quality wavefront aberrations Dacryocystorhinostomy nasolacrimal duct obstruction silicone tube Age anterior chamber depth body height primary angle closure glaucoma sex Children eye injury vitrectomy study eye injury trauma vitrectomy Corneal biomechanics corneal hysteresis corneal resistance factor intraocular pressure keratoplasty ocular response analyser Aspherical intraocular lens quality of vision spherical aberrations Benign excision lids and caruncle no recurrence ocular FH inflammation sterile endophthalmitis Carotid artery disease ocular ischemic syndrome retinal emboli cataract India low vision population Awareness glaucoma knowledge North India Aphakia capsular support inadequate intraocular lens implantation iris fixation Extra macular BRVO hyperhomocysteinemia multiple BRVO Medial canthus recurrent retiform hemangioendothelioma Optic atrophy osteopetrosis Lacrimal abscess dacryocystitis cardiobacterium hominis Ethambutol linezolid optic neuropathy Blunt trauma horseshoe-shaped macular tear spectral-domain optical coherence tomography Caesarian section combined occlusion non-ocular surgery perioperative visual loss
Online Access:	http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=4;spage=503;epage=505;aulast=Pandey

Description
Summary:	Perioperative visual loss (POVL), a rare but devastating complication, has been reported after spine, cardiac, and head-neck surgeries.The various causes include ischemic optic neuropathy, central or branch retinal artery occlusion, and cortical blindness. The contributory factors described are microvascular diseases and intraoperative hemodynamic compromise. However, the exact association of these factors with post-operative blindness has not yet been confirmed. A case of POVL with caesarian section surgery is being presented. The visual loss occurred due to a combined occlusion of central retinal artery and vein.The causes, presentation, and risk factors of POVL after non-ocular surgery are being discussed.
ISSN:	0301-4738 1998-3689

Perioperative visual loss with non-ocular surgery: Case report and review of literature

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