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围手术期视力丧失:我们了解什么,我们能做什么?

Perioperative visual loss: what do we know, what can we do?

机构信息

Department of Anaesthesia and Critical Care, University of Chicago, 5841 South Maryland Avenue, Box MC 4028, Chicago, IL 60637, USA.

出版信息

Br J Anaesth. 2009 Dec;103 Suppl 1(Suppl 1):i31-40. doi: 10.1093/bja/aep295.

Abstract

Perioperative visual loss (POVL), a rare, but devastating complication, can follow non-ocular surgery. Highest rates of visual loss are with cardiac and spine surgery. The main causes of visual loss after non-ocular surgery are retinal vascular occlusion and ischaemic optic neuropathy. This review updates readers on the incidence, suspected risk factors, diagnosis, and treatment of POVL due to these conditions.

摘要

围手术期视力丧失(POVL)是一种罕见但严重的并发症,可继发于非眼部手术。心脏和脊柱手术后的视力丧失发生率最高。非眼部手术后视力丧失的主要原因是视网膜血管闭塞和缺血性视神经病变。本文就这些原因导致的 POVL 的发生率、疑似危险因素、诊断和治疗为读者提供最新信息。

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