Anterior ischemic optic neuropathy after uncomplicated scleral buckling surgery

Taban, Mehran; Sharma, Mithlesh C; Lee, Michael S.

doi:10.1007/s00417-005-0249-3

Cited by 8 publications

(1 citation statement)

References 8 publications

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“…The most common surgery was cataract extraction, 156,157,[169][170][171] followed by LASIK. 164,172,173 Cases were also seen following vitrectomy, 174 scleral buckle, 175 pneumoplethysmography, 176 and strabismus surgery. 177 Patients ranged in age from 26 177 to 94 years old.…”

Section: Anterior Ischemic Optic Neuropathy Literature Reviewmentioning

confidence: 99%

Perioperative visual loss in ocular and nonocular surgery

Berg

Harrison

Lee

2010

OPTH

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Incidence estimates for perioperative vision loss (POVL) after nonocular surgery range from 0.013% for all surgeries up to 0.2% following spine surgery. The most common neuro-ophthalmologic causes of POVL are the ischemic optic neuropathies (ION), either anterior (AION) or posterior (PION). We identified 111 case reports of AION following nonocular surgery in the literature, with most occurring after cardiac surgery, and 165 case reports of PION following nonocular surgery, with most occurring after spine surgery or radical neck dissection. There were an additional 526 cases of ION that did not specify if the diagnosis was AION or PION. We also identified 933 case reports of central retinal artery occlusion (CRAO), 33 cases of pituitary apoplexy, and 245 cases of cortical blindness following nonocular surgery. The incidence of POVL following ocular surgery appears to be much lower than that seen following nonocular surgery. We identified five cases in the literature of direct optic nerve trauma, 47 cases of AION, and five cases of PION following ocular surgery. The specific pathogenesis and risk factors underlying these neuro-ophthalmic complications remain unknown, and physicians should be alert to the potential for loss of vision in the postoperative period. Method of literature reviewWe searched the National Library of Medicine's PubMed database with a subsequent review of the accompanying references (last accessed February 8, 2010). The major search words and word combinations included: posterior ischemic optic neuropathy; anterior ischemic optic neuropathy; central retinal artery occlusion; pituitary apoplexy; cortical blindness; optic nerve trauma; postoperative vision loss; postoperative blindness; perioperative vision loss; perioperative blindness; and ocular surgery. In addition, the citations from the above searches were also included. Cases from the non-English literature and cases prior to 1970 were not included. Cases with documented direct surgical trauma to orbital structures other than the optic nerve were not included.

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