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Psychiatric complications after ocular surgery

M Sekimoto1, S Hayasaka, S Noda

  • 1Department of Ophthalmology, Shimane Medical University, Izumo, Japan.

Ophthalmologica. Journal International D'Ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde
|January 1, 1993
PubMed
Summary
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Postoperative delirium can occur after eye surgery, including cataract and retinal detachment procedures. In these cases, delirium resolved within one month, with one patient experiencing an extradural hematoma.

Area of Science:

  • Ophthalmology
  • Neurology
  • Psychiatry

Background:

  • Delirium is a common postoperative complication, particularly in elderly patients.
  • Ophthalmic surgeries like cataract extraction and rhegmatogenous retinal detachment repair can precipitate neuropsychiatric symptoms.
  • Understanding the incidence and characteristics of delirium following these procedures is crucial for patient care.

Observation:

  • A 64-year-old male developed delirium post-cataract surgery, complicated by an extradural hematoma after a fall.
  • A 58-year-old female and a 26-year-old female experienced delirium after surgery for rhegmatogenous retinal detachment.
  • All three patients exhibited delirium as a postoperative psychiatric complication.

Findings:

  • Delirium occurred in patients undergoing different ophthalmic surgical procedures.

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  • One case involved a traumatic brain injury (extradural hematoma) secondary to a fall, preceding delirium.
  • The psychiatric complications resolved spontaneously in all patients within a month.

    • Implications:

    • Ophthalmologists and healthcare providers should be vigilant for delirium in patients post-eye surgery.
    • Prompt recognition and management of delirium are essential for favorable patient outcomes.
    • Further research may elucidate specific risk factors and preventative strategies for delirium in this population.