Visual loss after orthopedic procedures.

Détails

ID Serval
serval:BIB_4B7C3DAF7C6B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Visual loss after orthopedic procedures.
Périodique
Journal of Arthroplasty
Auteur(s)
Kaeser P.F., Borruat F.X.
ISSN
1532-8406 (Electronic)
ISSN-L
0883-5403
Statut éditorial
Publié
Date de publication
2011
Peer-reviewed
Oui
Volume
26
Numéro
2
Pages
338.e17-338.e19
Langue
anglais
Notes
Publication types: Journal Article ; Review Publication Status: ppublish
Résumé
Perioperative visual loss (PVL) is a very rare and unpredictable complication of surgery performed at distance from the visual pathways, mostly after spine or cardiac procedures. We report 6 consecutive patients with PVL after routine orthopedic procedures (osteosynthesis for complex fracture of the femur [2], total hip arthroplasty [2], hip prosthesis arthroplasty [1], bilateral simultaneous total knee arthroplasty [1]) and reviewed the literature on the subject. An ischemic optic neuropathy was diagnosed in all cases, and visual loss was bilateral in 5 of 6 patients. Partial visual improvement occurred in only 3 of 11 eyes. No specific therapy is available for PVL. Postoperative visual disturbances should prompt without delay an ophthalmic evaluation because emergent correction of anemia, systemic hypotension, or hypovolemia might improve visual prognosis of PVL.
Mots-clé
Aged, Aged, 80 and over, Arthroplasty, Replacement, Hip/adverse effects, Arthroplasty, Replacement, Knee/adverse effects, Blindness/etiology, Female, Fracture Fixation/adverse effects, Humans, Male, Middle Aged, Retrospective Studies
Pubmed
Création de la notice
18/05/2010 13:04
Dernière modification de la notice
20/08/2019 13:59
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