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Perioperative vision loss

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https://read.qxmd.com/read/30817727/ischemic-optic-neuropathy-following-spine-surgery-case-series-and-systematic-review-of-the-literature
#1
Anshit Goyal, Mohamed Elminawy, Mohammed Ali Alvi, Timothy R Long, John J Chen, Elizabeth Bradley, Brett A Freedman, Mohamad Bydon
MINI: Spine surgery remains one of the most common causes of perioperative vision loss due to ischemic optic neuropathy. We present a case series and systematic review of the literature to illustrate risk factors and prognosis and highlight the need for better reporting of this rare but devastating complication of spine surgery. STUDY DESIGN: Case control analysis and systematic literature review. OBJECTIVE: To illustrate the prognosis and perioperative risk factors associated with this condition...
February 11, 2019: Spine
https://read.qxmd.com/read/30808028/-intravitreal-injection-of-low-dose-gentamicin-for-the-treatment-of-eru-affected-horses
#2
André Kleinpeter, Agnes Göpfert, Elisa Köhler, Walter Brehm
OBJECTIVE: Aim of the study was the retrospective evaluation regarding vision and recurrence in equine recurrent uveitis (ERU)-affected horses treated by intravitreal low-dose gentamicin injection in Tierklinik Alt Sammit during the years 2006-2013. MATERIAL AND METHODS: The study included 50 equine patients (61 ERU-affected eyes) of different age and breed with different stages of ERU. The solution for the injection contained 4.0 mg sterile gentamicin per eye...
February 2019: Tierärztliche Praxis. Ausgabe G, Grosstiere/Nutztiere
https://read.qxmd.com/read/30790199/ocular-injury-during-spine-surgery
#3
Ryan E Hofer, Kimberly D Evans, Matthew A Warner
PURPOSE: Ocular injury and vision loss are rare complications of surgery. Spine surgery has been identified as particularly high risk for postoperative vision loss; nevertheless, ocular injuries have not been comprehensively assessed in this patient population. METHODS: This historical cohort study assessed incidence, cause, and risk factors of perioperative ocular injury after spine surgery at a tertiary care medical centre from January 1, 2006 through January 31, 2018...
February 21, 2019: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/30703793/-application-of-intracorporeal-uncut-roux-en-y-anastomosis-in-digestive-tract-reconstruction-after-laparoscopic-total-gastrectomy
#4
Qiyuan Shen, Changshun Yang, Jinsi Wang, Mengbo Lin, Shaoxin Cai, Weihua Li
OBJECTIVE: To explore the safety, feasibility and short-term efficacy of intracavitary uncut Roux-en-Y (URY) anastomosis in digestive tract reconstruction following laparoscopic total gastrectomy (LTG). METHODS: From November 2015 to January 2018, 67 gastric cancer patients underwent intracavitary URY following LTG to reconstruct the digestive tract at Oncological Surgery Department of Fujian Provincial Hospital. There were 41 males and 26 females with age of 50 to 81 (61...
January 25, 2019: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/30406387/robotic-pelvic-dissection-as-surgical-treatment-of-complicated-diverticulitis-in-elective-settings-a-comparative-study-with-fully-laparoscopic-procedure
#5
Diletta Cassini, Norma Depalma, Michele Grieco, Roberto Cirocchi, Farshad Manoochehri, Gianandrea Baldazzi
BACKGROUND: Recently, minimally invasive treatment of complicated sigmoid diverticulitis is becoming a valid alternative to standard procedures. Robotic approach may be useful to allow more precise dissection in arduous pelvic dissection as in complicated diverticulitis. The aim of this study is to investigate effectiveness, potential benefits and short-term outcomes of robotic-assisted laparoscopic surgical resection, compared with fully laparoscopic resection in complicated diverticulitis...
November 7, 2018: Surgical Endoscopy
https://read.qxmd.com/read/29999459/complications-associated-with-microscopic-and-endoscopic-transsphenoidal-pituitary-surgery-experience-of-1153-consecutive-cases-treated-at-a-single-tertiary-care-pituitary-center
#6
Matthew S Agam, Michelle A Wedemeyer, Bozena Wrobel, Martin H Weiss, John D Carmichael, Gabriel Zada
OBJECTIVE Pituitary adenomas (PAs) are benign neoplasms that are frequently encountered during workup for endocrinopathy, headache, or visual loss. Transsphenoidal surgery remains the first-line approach for PA resection. The authors retrospectively assessed complication rates associated with transsphenoidal PA resection from an institutional database. METHODS A retrospective analysis of 1153 consecutive transsphenoidal pituitary adenoma resections performed at the Keck Hospital of USC between November 1992 and March 2017 was conducted...
June 1, 2018: Journal of Neurosurgery
https://read.qxmd.com/read/29775155/long-term-surgical-outcomes-following-transsphenoidal-surgery-in-patients-with-rathke-s-cleft-cysts
#7
Michelle Lin, Michelle A Wedemeyer, Daniel Bradley, Daniel A Donoho, Vance L Fredrickson, Martin H Weiss, John D Carmichael, Gabriel Zada
OBJECTIVE Rathke's cleft cysts (RCCs) are benign epithelial lesions of the sellar region typically treated via a transsphenoidal approach with cyst fenestration and drainage. At present, there is limited evidence to guide patient selection for operative treatment. Furthermore, there is minimal literature describing factors contributing to cyst recurrence. METHODS The authors conducted a retrospective analysis of 109 consecutive cases of pathology-confirmed RCCs treated via a transsphenoidal approach at a single center from 1995 to 2016...
May 18, 2018: Journal of Neurosurgery
https://read.qxmd.com/read/29770858/-management-of-anticoagulants-in-ophthalmic-surgery-a-survey-among-ophthalmic-surgeons-in-germany
#8
N Feltgen, B Mele, T Dietlein, C Erb, A Eckstein, A Hager, A Heiligenhaus, H Helbig, H Hoerauf, E Hoffmann, D Pauleikhoff, M Schittkowski, B Seitz, C Sucker, S Suffo, U Schaudig, F Tost, S Thurau, P Walter, J Koscielny
INTRODUCTION: As our population ages and comorbidities rise, ophthalmic surgeons are increasingly faced with patients on anticoagulant therapy or with clotting disorders. The ophthalmic surgeon has to weigh the perioperative risk of haemorrhage when anticoagulation continues against the risk of thromboembolism caused by discontinuation or changing the patient's medication (bridging, switching, cessation). There are currently no guidelines or recommendations. METHODS: A survey was sent to the DOG (German Ophthalmologic Society) divisions and associated surgical organizations to determine the status quo...
May 16, 2018: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://read.qxmd.com/read/29596084/combined-surgery-and-intraoperative-sclerotherapy-for-vascular-malformations-of-the-head-neck-the-hybrid-approach
#9
Rachel L Gray, Rafael A Ortiz, Nicholas Bastidas
Vascular malformations (VMs) of the head and neck can lead to aesthetic problems as well as cranial nerve damage, airway compromise, and vision loss. Large VMs are typically managed surgically, with sclerotherapy or embolization performed in the perioperative period to decrease the risk of excessive blood loss and minimize the size of the VM. However, this initial treatment is frequently insufficient leading to excessive blood loss intraoperatively, poorer margin visualization for the surgeon, and decreased likelihood of complete resection...
April 2018: Annals of Plastic Surgery
https://read.qxmd.com/read/29551422/incidence-risk-factors-and-management-of-blindness-after-orbital-surgery
#10
Sarah M Jacobs, Colin P McInnis, Matthew Kapeles, Shu-Hong Chang
PURPOSE: Severe vision loss is a risk of orbital surgery which physicians should counsel patients about, but the overall risk rate is unknown. This research was conducted to determine the risk of severe vision loss related to orbital surgery. DESIGN: Retrospective review. PARTICIPANTS: Patients who underwent orbital surgery at either of 2 academic medical centers between January 1994 and December 2014. METHODS: A billing database search was conducted to identify all patients who had orbital surgery during the study period, cross-checked against diagnostic codes related to vision loss...
July 2018: Ophthalmology
https://read.qxmd.com/read/29506916/prevalence-of-primary-open-angle-glaucoma-among-patients-with-obstructive-sleep-apnea
#11
Arthur H Friedlander, Lindsay L Graves, Tina I Chang, K Karl Kawakami, Urie K Lee, Shannon C Grabich, Zhuang T Fang, Michelle R Zeidler, JoAnn A Giaconi
OBJECTIVE: Our objective was to determine primary open-angle glaucoma (POAG) prevalence among obstructive sleep apnea (OSA) patients because the perioperative environment risks further damaging the optic nerve. STUDY DESIGN: We analyzed a "convenience sample" referred by Sleep Medicine for oral appliances because of continuous positive airway pressure intolerance. We determined the aggregate prevalence of the 3 POAG subtypes-"classic" open-angle glaucoma (COAG), normal-tension glaucoma (NTG), and open-angle glaucoma suspect (OAGS)-among the index population and compared it with that of same hospital's general population...
September 2018: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
https://read.qxmd.com/read/29462061/visual-loss-following-spine-surgery-what-have-we-seen-within-the-scoliosis-research-society-morbidity-and-mortality-database
#12
Jamal N Shillingford, Joseph L Laratta, Nana O Sarpong, Hasani Swindell, Meghan Cerpa, Ronald A Lehman, Lawrence G Lenke, Charla R Fischer
STUDY DESIGN: A retrospective review of the Scoliosis Research Society (SRS) morbidity and mortality (M&M) database. OBJECTIVE: The aim of this study was to investigate visual related complications in spinal deformity patients undergoing spine surgery. SUMMARY OF BACKGROUND DATA: The SRS compiles surgeon-reported complications into an M&M database, tracking postoperative complications including visual loss, neurological deficits, infections, and death...
September 1, 2018: Spine
https://read.qxmd.com/read/29400686/prehab-vs-rehab-presurgical-treatment-in-vestibular-schwannoma-surgery-enhances-recovery-of-postural-control-better-than-postoperative-rehabilitation-retrospective-case-series
#13
Fredrik Tjernström, Per-Anders Fransson, Babar Kahlon, Mikael Karlberg, Sven Lindberg, Peter Siesjö, Måns Magnusson
OBJECT: To evaluate post-surgical postural stability when treating patients with remaining vestibular function with intratympanic gentamicin (PREHAB) prior to schwannoma surgery. METHOD: 44 consecutive patients with some form remaining vestibular function scheduled for vestibular schwannoma surgery. 20 were medically deafferented with intratympanic gentamicin before surgery and 24 were not. Both groups were of the same age, had the same tumor size, same type of surgery, and same perioperative sensory rehabilitation (training exercises), and no surgical complications...
2018: Journal of Vestibular Research: Equilibrium & Orientation
https://read.qxmd.com/read/29218670/systematic-review-of-robotic-low-anterior-resection-for-rectal-cancer
#14
Christoph Holmer, Martin E Kreis
BACKGROUND: Potential advantages of robotic surgery, such as 3-dimensional high-definition vision, wrist-like movements of instruments, stable camera holding, motion filter for tremor-free surgery, and improved ergonomics, may provide better clinical, oncological, and functional outcomes in rectal cancer surgery, as suggested in many comparative studies. However, there has not been a systematic review specific to LAR/TME for rectal cancer that includes both robotic versus laparoscopic and robotic versus open comparative studies...
February 2018: Surgical Endoscopy
https://read.qxmd.com/read/28881162/perioperative-vision-loss-after-non-ocular-surgery
#15
REVIEW
Bart Chwalisz, Aubrey L Gilbert, John W Gittinger
Perioperative vision loss (POVL) may cause devastating visual morbidity. A prompt anatomical and etiologic diagnosis is paramount to guide management and assess prognosis. Where possible, steps should be undertaken to minimize risk of POVL for vulnerable patients undergoing high-risk procedures. We review the specific risk factors, pathophysiology, and management and prevention strategies for various etiologies of POVL.
2018: Seminars in Ophthalmology
https://read.qxmd.com/read/28856396/objective-evaluation-of-eyebrow-position-after-autologous-fat-grafting-to-the-temple-and-forehead
#16
Cheng-Hung Chiu
BACKGROUND: Fat grafting can be used to correct age-related volume loss in the face. However, the degree of rejuvenation is difficult to be evaluated. OBJECTIVES: The author sought to objectively verify the change in patients' eyebrow position after fat grafting to the upper face. METHODS: The charts of 175 consecutive patients who underwent autologous fat grafting to the forehead and temple were reviewed. Perioperative changes in the heights of medial, middle, and lateral segments of the eyebrow and the eyebrow slant were recorded and compared...
December 2017: Aesthetic Plastic Surgery
https://read.qxmd.com/read/28824977/incidental-transient-cortical-blindness-after-lung-resection
#17
Murat Oncel, Guven Sadi Sunam, Asuman Orhan Varoglu, Hakan Karabagli, Huseyin Yildiran
Transient vision loss after major surgical procedures is a rare clinical complication. The most common etiologies are cardiac, spinal, head, and neck surgeries. There has been no report on vision loss after lung resection. A 65-year-old man was admitted to our clinic with lung cancer. Resection was performed using right upper lobectomy with no complications. Cortical blindness developed 12 hours later in the postoperative period. Results from magnetic resonance imaging and diffusion-weighted investigations were normal...
March 2016: Surgery Journal
https://read.qxmd.com/read/28751182/unilateral-blindness-after-orthognathic-surgery-hypotensive-anaesthesia-is-not-the-primary-cause
#18
Á Rodríguez-Navarro, F M Gonzalez-Valverde
Perioperative vision loss in non-ocular surgery represents a rare but devastating complication and multiple causes have been proposed. Any portion of the visual system may be involved and several authors have tried to relate that complication with deliberate hypotension anaesthetic technique, used to control intraoperative bleeding. We report a patient operated for orthognathism who suffered unilateral blindness. After review of similar cases, we can state that the transmission of forces generated during Le fort I osteotomy is related to the complication...
January 2018: International Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/28451500/perioperative-vision-loss-in-cervical-spinal-surgery
#19
Brandon C Gabel, Arthur Lam, Jens R Chapman, Rod J Oskouian, Ahmad Nassr, Bradford L Currier, Arjun S Sebastian, Paul M Arnold, Steven R Hamilton, Michael G Fehlings, Thomas E Mroz, K Daniel Riew
STUDY DESIGN: Retrospective multicenter case series. OBJECTIVE: To assess the rate of perioperative vision loss following cervical spinal surgery. METHODS: Medical records for 17 625 patients from 21 high-volume surgical centers from the AOSpine North America Clinical Research Network who received cervical spine surgery (levels from C2 to C7) between January 1, 2005, and December 31, 2011, inclusive, were reviewed to identify occurrences of vision loss following surgery...
April 2017: Global Spine Journal
https://read.qxmd.com/read/28259132/alterations-in-tear-biochemistry-associated-with-postanesthetic-chronic-dry-eye-syndrome
#20
E Yu Zernii, M O Golovastova, V E Baksheeva, E I Kabanova, I E Ishutina, O S Gancharova, A E Gusev, M S Savchenko, A P Loboda, L F Sotnikova, A A Zamyatnin, P P Philippov, I I Senin
Perioperative dry eye syndrome (DES) is a common ocular complication of long-term general anesthesia. Chronic DES can lead to permanent damage to the cornea and disturbance of visual function, up to total loss of vision. Here, a relationship between the duration of general anesthesia and the risk of chronic DES in patients was demonstrated. Using an experimental model of perioperative corneal abrasions in rabbits, it was found that introduction of animals to 3-h general anesthesia resulted in clinically significant chronic damage to the cornea in 50% of cases...
December 2016: Biochemistry. Biokhimii︠a︡
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