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Perioperative Vision Loss after Non-Ocular Surgery.
Bart Chwalisz1, Aubrey L Gilbert1, John W Gittinger1
1a Department of Neuro-Ophthalmology , Massachusetts Eye and Ear and Harvard Medical School , Boston , MA , USA.
Seminars in Ophthalmology
|September 8, 2017
Summary
Perioperative vision loss (POVL) can cause severe visual impairment. Prompt diagnosis and risk reduction are crucial for managing and preventing this condition in high-risk patients.
Area of Science:
- Ophthalmology
- Anesthesiology
- Surgical Patient Care
Background:
- Perioperative vision loss (POVL) is a serious complication following surgical procedures.
- It can lead to significant and permanent visual impairment.
- Understanding the causes and risks is essential for patient management.
Purpose of the Study:
- To review the risk factors, pathophysiology, and management strategies for POVL.
- To highlight the importance of prompt diagnosis for guiding treatment and prognosis.
- To discuss prevention strategies for vulnerable patients undergoing high-risk surgeries.
Main Methods:
- Literature review of existing studies on POVL.
- Analysis of risk factors associated with different surgical procedures.
- Synthesis of current knowledge on diagnostic approaches.
- Compilation of evidence-based management and prevention guidelines.
Main Results:
- POVL encompasses a range of ocular and neurological causes.
- Specific patient factors and surgical conditions increase POVL risk.
- Early etiological diagnosis is critical for effective intervention.
- Proactive risk mitigation strategies can reduce incidence.
Conclusions:
- POVL necessitates a multidisciplinary approach involving ophthalmologists and anesthesiologists.
- Identifying and addressing risk factors preoperatively is key.
- Timely diagnosis and appropriate management improve outcomes for patients experiencing POVL.
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