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Vision Loss after Uncomplicated Pars Plana Vitrectomy


Authors: L. Hejsek;  J. Dusová;  A. Stepanov;  P. Rozsíval
Authors‘ workplace: Oční klinika, Fakultní nemocnice Hradec Králové přednosta prof. MUDr. Pavel Rozsíval, CSc., FEBO
Published in: Čes. a slov. Oftal., 69, 2013, No. 6, p. 253-256
Category: Original Article

Overview

Every eye surgery has its pitfalls and possible complications. Even after properly and noncomplicated orbital or intraocular surgery there can develop a loss of visual acuity or visual field. In the perioperative period was on the operated eye for epimacular membrane (23G pars plana vitrectomy) retinal arterial occlusion with fatal consequences for visual function. Entrance visual acuity decreased from 20/63 to counting fingers. Risk factors for age-related and underlying diseases were accompanied by systemic hypotension and mild anemia. Commonly available topical and general therapy did not lead to any significant improvement.

Key words:
pars plana vitrectomy, loss of vision, retinal arterial occlusion


Sources

1. Beatty, S., Au Eong, KG.: Local intra-arterial fibrinolysis for acute occlusion of the central retinal artery: a meta-analysis of the published data. Br J Ophthalmol, 2000; 84: 914–916.

2. Berg, KT., Harrison, AR., Lee, MS.: Perioperative visual loss in ocular and nonocular surgery. Clin Ophthalmol, 2010; 4: 531–546.

3. Fazio, DT., Bateman, JB., Christersen, RE.: Acute angle-closure glaucoma associated with surgical anesthesia. Arch Ophthalmol, 1985; 103(3): 360–362.

4. Gass, CA., Haritoglou, C., Messmer, EM., Schaumberger, M., Kampik, A.: Peripheral visual field defects after macular hole surgery: a complication with decreasing incidence. Br J Ophthalmol, 2001; 85: 549–551.

5. Holy, SE.,Tsai, JH., McAllister, RK., Smith, KH.: Perioperative ischemic optic neuropaty: a case kontrol analysis of 126,666 surgical procedures at a single institution., Anestesiology, 2009; 110: 246–253.

6. Schmidt, D., Schumacher, M.: Stage-dependent efficacy of intra-arterial fibrinolysis in central retinal artery occlusion (CRAO). Neuro-ophthalmology, 1998; 20(3): 125–141.

7. Taban M., Lewis H., Lee MS.: Nonarteritic anterior ischemic optic neuropaty and „visual field defects“ following vitrectomy: could they be related? Graefes Arch Clin Exp Ophthalmol, 2007; 245: 600–605.

Labels
Ophthalmology
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