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Monocular blindness following elective hip arthroplasty.

Ciara McGuire1, Colin Murphy, Natasha O'Malley

  • 1Department of Orthopaedic Surgery, Our Lady's Hospital, Navan, Co. Meath, Ireland. ciarameganmcguire@gmail.com

Acta Orthopaedica Belgica
|February 20, 2010
PubMed
Summary

Visual loss after non-ophthalmic surgery, like hip replacement, can occur. Early diagnosis and treatment are crucial for high-risk patients with carotid artery occlusion to prevent ocular ischemia and vision loss.

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Area of Science:

  • Ophthalmology
  • Vascular Surgery

Background:

  • Non-ophthalmic surgeries, including cardiac, spinal, and transplant procedures, are associated with devastating visual loss complications.
  • Patients with carotid artery occlusion face an elevated risk of ocular ischemia.

Observation:

  • An 82-year-old male patient developed monocular hemispherical blindness post-elective total hip replacement.
  • The visual loss was attributed to branch retinal artery occlusion.

Findings:

  • Branch retinal artery occlusion can be a complication of non-ophthalmic surgery, particularly in at-risk individuals.
  • Pre-operative assessment and timely intervention are critical for managing ocular risks in high-risk surgical patients.

Implications:

  • Highlights the importance of pre-operative screening for ocular risks in patients undergoing non-ophthalmic surgery.

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  • Emphasizes the need for prompt diagnosis and management of visual complications to prevent permanent vision loss.