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Strategies to prevent ischemic optic neuropathy following major spine surgery: A narrative review.
- Source :
-
Journal of clinical anesthesia [J Clin Anesth] 2017 Dec; Vol. 43, pp. 50-58. Date of Electronic Publication: 2017 Oct 03. - Publication Year :
- 2017
-
Abstract
- Postoperative vision loss following a major spine operation is a rare but life-changing event. Most of reports have been linked to ischemic optic neuropathy, and patients undergoing surgery for scoliosis correction or posterior lumbar fusion seem to be at the highest risk. Despite that some key risk factors have been identified, much of the pathophysiology still remain unknown. In fact, whereas only a minority of patients at high risk will present this complication, others with similar risk factors undergoing different procedures may not develop it at all. On the other hand, even when all preventive measures have been taken, ischemic optic neuropathy may still occur. Therefore, it is appropriate for clinicians involved in these cases to inform their patients about the existence of a small but unpredictable risk of vision loss. Since ischemic optic neuropathy is deemed to be the leading cause of vision loss in the context of major spine surgery in prone position, this review will be focused on its main aspects related to the frequency, diagnosis, predisposing factors, and prevention. Regrettably, no treatment has been proved to be effective for this condition.<br /> (Copyright © 2017 Elsevier Inc. All rights reserved.)
- Subjects :
- Humans
Incidence
Lumbar Vertebrae surgery
Monitoring, Intraoperative methods
Optic Neuropathy, Ischemic diagnosis
Optic Neuropathy, Ischemic epidemiology
Optic Neuropathy, Ischemic therapy
Patient Positioning
Postoperative Complications epidemiology
Postoperative Complications etiology
Prone Position
Risk Factors
Thoracic Vertebrae surgery
United States epidemiology
Laminectomy adverse effects
Optic Neuropathy, Ischemic prevention & control
Postoperative Complications prevention & control
Spinal Fusion adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1873-4529
- Volume :
- 43
- Database :
- MEDLINE
- Journal :
- Journal of clinical anesthesia
- Publication Type :
- Academic Journal
- Accession number :
- 28985584
- Full Text :
- https://doi.org/10.1016/j.jclinane.2017.09.009