Postoperative Visual Loss
| Autor: | Koffi M. Kla, Lorri A. Lee |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Cortical blindness business.industry medicine.medical_treatment Incidence (epidemiology) Ischemic optic neuropathy medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Blood loss 030202 anesthesiology Anesthesia Spinal fusion Anesthetic medicine Central retinal artery occlusion business Complication 030217 neurology & neurosurgery medicine.drug |
| Popis: | Postoperative visual loss (POVL) is a rare but devastating complication after nonocular surgery. POVL can be caused by central retinal artery occlusion, ischemic optic neuropathy (ION), and cortical blindness. The most common cause of POVL related to prone spine surgery in adults is ION. Risk factors for the development of ION associated with spine surgery include male sex, Wilson frame use, obesity, a lower percentage of colloid administration, longer anesthetic duration, and a greater amount of estimated blood loss. One recent study using national data demonstrates that the incidence of POVL related to ION after spine surgery has decreased over the past decade and a half. This decreased incidence may be related to prior studies identifying risk factors and large-scale efforts to educate practitioners caring for these high-risk patients. |
| Databáze: | OpenAIRE |
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