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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.

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|June 19, 2013
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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.

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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.