Posterior ischemic optic neuropathy following breast augmentation and abdominal liposuction

Rath, Eitan Z.; Falick, Yishay; Rumelt, Shimon

doi:10.3129/i09-060

Cited by 15 publications

(15 citation statements)

References 5 publications

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“…26 A number of cases of unilateral PION in association with systemic conditions have previously been reported. [27][28][29] Although the definitive explanation for this phenomenon is not clear, it has been postulated that certain individual optic nerves are more or less susceptible to hypotension depending on the individual vascular border zone. 25,30 There is currently no effective treatment for surgical PION.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Using Diffusion-Weighted Magnetic Resonance Imaging to Confirm a Diagnosis of Posterior Ischaemic Optic Neuropathy: Two Case Reports and Literature Review

Quddus

Lawlor

Siddiqui

et al. 2015

Neuro-Ophthalmology

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Posterior ischaemic optic neuropathy is a rare cause of visual loss believed to be due to infarction in the territory of the pial branches of the ophthalmic artery. The disorder most commonly occurs in the context of prolonged surgery or giant cell arteritis, and the absence of clinical signs in the eye means that the diagnosis is one of exclusion. Here, we present two cases studies of patients who developed posterior ischaemic optic neuropathy confirmed by the observation of secondary changes on diffusion-weighted imaging sequences. In the first case visual loss followed robotic pelvic surgery, and in the second case it was associated with multiorgan dysfunction secondary to severe pancreatitis. Our cases demonstrate that in the right clinical context, diffusion-weighted imaging can provide a positive diagnosis of acute posterior ischaemic optic nerve injury in the acute phase.

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Section: Discussion and Literature Reviewmentioning

confidence: 99%

Using Diffusion-Weighted Magnetic Resonance Imaging to Confirm a Diagnosis of Posterior Ischaemic Optic Neuropathy: Two Case Reports and Literature Review

Quddus

Lawlor

Siddiqui

et al. 2015

Neuro-Ophthalmology

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“…We also found one case of PION following abdominal liposuction and breast augmentation. 35 Patients who underwent large volume liposuction suffered mainly AION, either unilateral or bilateral. 36 -40 The etiology may reflect a combination of large volume aspiration with consequent long procedure time, which would act synergistically in patients with underlying predisposing factors.…”

Section: Resultsmentioning

confidence: 99%

Ischemic Optic Neuropathy and Implications for Plastic Surgeons

Agostini¹,

Lazzeri²,

Agostini³

et al. 2011

Annals of Plastic Surgery

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Ischemic optic neuropathy can be a devastating complication of surgery. Plastic surgeons need to be aware of the risks, as well as the signs and symptoms, and counsel at-risk patients accordingly because of the potentially devastating nature of this complication. There are significant implications in relation to informed consent, underscored by the legal case of Rogers v Whitaker, 67 ALJR 47 (Aust 1992), which highlights the importance within the consent process of complications threatening sight, no matter how small.

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“…Seis de los 8 casos presentaron algún grado de anemia o hipotensión que se presentó antes de la perdida de la visión, igual que sucedió en nuestra paciente. (11)(12)(13)(14)(15)(16) Los mecanismos específicos que provocan la NOIA perioperatoria son poco claros, pero existen variables que incluyen la posición en decúbito prono durante la cirugía, la pérdida sanguínea, la anemia, hemodilución, hipotensión y el uso de vasopresores. Entre los factores de riesgo del paciente se pueden incluir la diabetes mellitus, la hipertensión arterial o las enfermedades cardiovasculares.…”

Section: Discussionunclassified

Ceguera legal unilateral y liposucción. Revisión de la literatura y reporte del primer caso en México, octavo en el mundo

Rodríguez¹,

Macías²,

Alvarado³

et al. 2019

Cir. plást. iberolatinoam.

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Posterior ischemic optic neuropathy following breast augmentation and abdominal liposuction

Cited by 15 publications

References 5 publications

Using Diffusion-Weighted Magnetic Resonance Imaging to Confirm a Diagnosis of Posterior Ischaemic Optic Neuropathy: Two Case Reports and Literature Review

Using Diffusion-Weighted Magnetic Resonance Imaging to Confirm a Diagnosis of Posterior Ischaemic Optic Neuropathy: Two Case Reports and Literature Review

Ischemic Optic Neuropathy and Implications for Plastic Surgeons

Ceguera legal unilateral y liposucción. Revisión de la literatura y reporte del primer caso en México, octavo en el mundo

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