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Perioperative visual loss: what do we know, what can we do? 2009

S Roth
Department of Anaesthesia and Critical Care, University of Chicago, 5841 South Maryland Avenue, Box MC 4028, Chicago, IL 60637, USA. sroth@dacc.uchicago.edu

Perioperative visual loss (POVL), a rare, but devastating complication, can follow non-ocular surgery. Highest rates of visual loss are with cardiac and spine surgery. The main causes of visual loss after non-ocular surgery are retinal vascular occlusion and ischaemic optic neuropathy. This review updates readers on the incidence, suspected risk factors, diagnosis, and treatment of POVL due to these conditions.

UI MeSH Term Description Entries
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D001766 Blindness The inability to see or the loss or absence of perception of visual stimuli. This condition may be the result of EYE DISEASES; OPTIC NERVE DISEASES; OPTIC CHIASM diseases; or BRAIN DISEASES affecting the VISUAL PATHWAYS or OCCIPITAL LOBE. Amaurosis,Bilateral Blindness,Blindness, Bilateral,Blindness, Legal,Blindness, Monocular,Blindness, Unilateral,Sudden Visual Loss,Unilateral Blindness,Blindness, Acquired,Blindness, Complete,Blindness, Hysterical,Blindness, Transient,Acquired Blindness,Amauroses,Bilateral Blindnesses,Complete Blindness,Hysterical Blindness,Legal Blindness,Monocular Blindness,Sudden Visual Losses,Transient Blindness,Visual Loss, Sudden
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D015356 Retinal Artery Occlusion Sudden ISCHEMIA in the RETINA due to blocked blood flow through the CENTRAL RETINAL ARTERY or its branches leading to sudden complete or partial loss of vision, respectively, in the eye. Branch Retinal Artery Occlusion,Central Retinal Artery Occlusion,Occlusion, Retinal Artery,Occlusions, Retinal Artery,Retinal Artery Occlusions
D016684 Prone Position The posture of an individual lying face down. Position, Prone,Positions, Prone,Prone Positions
D018917 Optic Neuropathy, Ischemic Ischemic injury to the OPTIC NERVE which usually affects the OPTIC DISK (optic neuropathy, anterior ischemic) and less frequently the retrobulbar portion of the nerve (optic neuropathy, posterior ischemic). The injury results from occlusion of arterial blood supply which may result from TEMPORAL ARTERITIS; ATHEROSCLEROSIS; COLLAGEN DISEASES; EMBOLISM; DIABETES MELLITUS; and other conditions. The disease primarily occurs in the sixth decade or later and presents with the sudden onset of painless and usually severe monocular visual loss. Anterior ischemic optic neuropathy also features optic disk edema with microhemorrhages. The optic disk appears normal in posterior ischemic optic neuropathy. (Glaser, Neuro-Ophthalmology, 2nd ed, p135) Anterior Ischemic Optic Neuropathy,Ischemic Optic Neuropathy,NAION,Nonarteritic Anterior Ischemic Optic Neuropathy,Optic Ischaemic Neuropathy,Optic Ischemic Neuropathy,Optic Nerve Ischemia,Posterior Ischemic Optic Neuropathy,Optic Neuropathy, Anterior Ischemic,Optic Neuropathy, Posterior Ischemic,Ischaemic Neuropathy, Optic,Ischemia, Optic Nerve,Ischemic Neuropathy, Optic,Ischemic Optic Neuropathies,Nerve Ischemia, Optic,Neuropathy, Ischemic Optic,Neuropathy, Optic Ischaemic,Neuropathy, Optic Ischemic,Optic Ischaemic Neuropathies,Optic Ischemic Neuropathies,Optic Nerve Ischemias

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