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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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:
Age
sex
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=4;spage=503;epage=505;aulast=Pandey
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author Nidhi Pandey
Ashok K Chandrakar
Mangi L Garg
author_facet Nidhi Pandey
Ashok K Chandrakar
Mangi L Garg
author_sort Nidhi Pandey
collection DOAJ
description 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.
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spelling doaj.art-2b723d5350e741cca20168219b609e772022-12-22T03:21:07ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892014-01-0162450350510.4103/0301-4738.116464Perioperative visual loss with non-ocular surgery: Case report and review of literatureNidhi PandeyAshok K ChandrakarMangi L GargPerioperative 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.http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=4;spage=503;epage=505;aulast=PandeyMean deviationnon-proliferative diabetic retinopathyshort fluctuationsshort wave automated perimetrystandard automated perimetryAntimicrobial effectconventional silicone oilendophthalmitis agentsheavy silicone oilKeratoconusmodified deep anterior lamellar keratoplastysteep corneal curvatureBevacizumabbranch retinal vein occlusionintravitrealmacular edematriamcinoloneBlindnessdisability evaluationquality of lifevisual acuityMitomycin Cpterygium recurrencepterygium surgerysubconjunctival bevacizumab injectionImaging in glaucomaoptical coherence tomographypediatricretinal nerve fiber layerAutogenous tissue graftinglacrimal drainage systemlacrimal fossabypass surgeryCorneaexcimer lasergrowth factorsmyopiaphotorefractive keratectomyTriamcinolone acetonidehuman trabecular meshwork cellsin vitroHyperopic implantable collamer lensmyopic implantable collamer lensoptical qualitywavefront aberrationsDacryocystorhinostomynasolacrimal duct obstructionsilicone tubeAgeanterior chamber depthbody heightprimary angle closure glaucomasexChildreneye injury vitrectomy studyeye injurytraumavitrectomyCorneal biomechanicscorneal hysteresiscorneal resistance factorintraocular pressurekeratoplastyocular response analyserAspherical intraocular lensquality of visionspherical aberrationsBenignexcisionlids and caruncleno recurrenceocular FH Bevacizumabinflammationsterile endophthalmitisCarotid artery diseaseocular ischemic syndromeretinal emboliBlindnesscataractIndialow visionpopulationAwarenessglaucomaknowledgeNorth IndiaAphakiacapsular supportinadequateintraocular lens implantationiris fixationExtra macular BRVOhyperhomocysteinemiamultiple BRVOMedial canthusrecurrentretiform hemangioendotheliomaOptic atrophyosteopetrosisLacrimal abscessdacryocystitiscardiobacterium hominisEthambutollinezolidoptic neuropathyBlunt traumahorseshoe-shaped macular tearspectral-domain optical coherence tomographyCaesarian sectioncombined occlusionnon-ocular surgeryperioperative visual loss
spellingShingle Nidhi Pandey
Ashok K Chandrakar
Mangi L Garg
Perioperative visual loss with non-ocular surgery: Case report and review of literature
Indian Journal of Ophthalmology
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
Bevacizumab
inflammation
sterile endophthalmitis
Carotid artery disease
ocular ischemic syndrome
retinal emboli
Blindness
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
title Perioperative visual loss with non-ocular surgery: Case report and review of literature
title_full Perioperative visual loss with non-ocular surgery: Case report and review of literature
title_fullStr Perioperative visual loss with non-ocular surgery: Case report and review of literature
title_full_unstemmed Perioperative visual loss with non-ocular surgery: Case report and review of literature
title_short Perioperative visual loss with non-ocular surgery: Case report and review of literature
title_sort perioperative visual loss with non ocular surgery case report and review of literature
topic 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
Bevacizumab
inflammation
sterile endophthalmitis
Carotid artery disease
ocular ischemic syndrome
retinal emboli
Blindness
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
url http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=4;spage=503;epage=505;aulast=Pandey
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AT mangilgarg perioperativevisuallosswithnonocularsurgerycasereportandreviewofliterature