[Postoperative visual disturbances after non-ophthalmic surgery]

Full Abstract

Visual disturbance including visual loss is a rare but devastating complication after non-ophthalmic surgery. Reported incidence of visual disturbances ranged from 0.028 to 0.2% after spine surgery and from 0.0009 to 25.6% after cardiac surgery. Ischemic optic neuropathy, central retinal artery occlusion, and cortical blindness can be involved as an etiology. After spine surgery, posterior ischemic optic neuropathy is most prevalent and risk factors included prone surgery, long operative time, massive hemorrhage and anemia. After cardiac surgery, anterior ischemic optic neuropathy is most prevalent and risk factors included age, diabetes, long cardiopulmonary bypass time and anemia. Anesthesiologists and surgeons should be aware of this complication and further investigations regarding etiology, prevention and managements on postoperative visual disturbances would be required.

Author information

Author/s: Kawaguchi, Masahiko (M); Hayashi, Hironobu (H); Kurita, Naoko (N); Furuya, Hitoshi (H);

Affiliation: Department of Anesthesiology, Nara Medical University, Kashihara 634-8522.

Journal and publication information

Publication Type: English Abstract; Journal Article; Review

Journal: Masui. The Japanese journal of anesthesiology (Masui), published in Japan. (Language: jpn)

Reference: 2009-Aug; vol 58 (issue 8) : pp 952-61

Dates: Created 2009/08/25; Completed 2009/11/17;

PMID: 19702207, status: MEDLINE (last retrieved date: 11/17/2009)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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