Principles of Protection of the Eye and Vision in Orbital Surgery
Autor: | Michael K. Yoon, Jenny C. Dohlman |
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Rok vydání: | 2020 |
Předmět: |
Diplopia
Optic nerve compression medicine.medical_specialty Surgical approach genetic structures Blindness business.industry 030206 dentistry medicine.disease eye diseases Orbital surgery Surgery 03 medical and health sciences Individual risk factors 0302 clinical medicine medicine.anatomical_structure Visual function 030221 ophthalmology & optometry medicine sense organs Neurology (clinical) medicine.symptom business Orbit (anatomy) |
Zdroj: | J Neurol Surg B Skull Base |
ISSN: | 2193-634X 2193-6331 |
DOI: | 10.1055/s-0040-1714077 |
Popis: | Orbital surgery can result in damage to ocular and orbital structures, leading to a range of structural and visual sequelae, including corneal abrasions, globe malposition, diplopia, and blindness. Vision loss in particular is the most feared and devastating complication, occurs with an overall incidence of 0.84%, and can occur secondary to direct injury, optic nerve compression, or ischemic events. Different types of orbital surgery and surgical approaches carry their own hazards, and it is important to be mindful of these risks in addition to having a thorough understanding of individual risk factors and anatomical variations for each patient. Although universal guidelines for preserving vision in orbital surgery do not yet exist, there are concrete steps that every surgeon can take at the preoperative, intraoperative, and postoperative stages to minimize the risk of injury and maximize the likelihood of preserving the eye and visual function. |
Databáze: | OpenAIRE |
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