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Published on: February 15, 2022
Perioperative visual loss after nonocular surgery.
Ashfaq Kitaba1, David P Martin, Senthil Gopalakrishnan
1Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.
Journal of Anesthesia
|June 19, 2013
Summary
Perioperative visual loss (POVL) is a rare but devastating complication following nonocular surgery. This review covers POVL causes, prevention strategies, and treatments to improve patient outcomes.
Area of Science:
- Ophthalmology
- Neurosurgery
- Cardiovascular Surgery
Background:
- Perioperative visual loss (POVL) is an uncommon yet severe complication following nonocular surgical procedures.
- Recent literature highlights increased recognition of POVL, particularly after spinal and cardiac surgeries.
- Pathologies like ischemic optic neuropathy, retinal vascular occlusion, and cortical blindness contribute to POVL.
Purpose of the Study:
- To review the incidence and causes of perioperative visual loss.
- To discuss the anatomy and physiology of ocular circulation relevant to POVL.
- To explore predisposing factors, prevention methods, and treatment options for POVL.
Main Methods:
- Literature review of perioperative visual loss.
- Analysis of ocular circulation anatomy and physiology.
- Synthesis of proposed predisposing factors, preventative measures, and treatments.
Main Results:
- POVL incidence, though rare, carries significant consequences.
- Multiple pathologies can lead to POVL.
- Various factors may predispose patients to POVL.
Conclusions:
- Understanding POVL's incidence and causes is crucial.
- Implementing preventative strategies during surgery is essential.
- Effective treatment modalities can mitigate the impact of POVL.
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