大脊柱手术后围手术期缺血性视神经病变的不常见表现。

Unusual presentation of perioperative ischemic optic neuropathy following major spine surgery.

机构信息

Department of Ophthalmology, University of North Carolina, Chapel Hill, NC 27599, USA.

出版信息

J Clin Anesth. 2010 Feb;22(1):52-5. doi: 10.1016/j.jclinane.2009.01.018.

DOI:10.1016/j.jclinane.2009.01.018

PMID:20206853

Abstract

Perioperative visual loss following spinal surgery has become of increasing concern among anesthesiologists, surgeons, and patients alike. Perioperative ischemic optic neuropathy often occurs in patients greater than 50 years of age, in association with a number of presumed risk factors, including diabetes, hypertension, small cup-to-disc ratio, preoperative anemia, intraoperative hypotension, prolonged operative time in the prone position, and significant blood loss during surgery. The visual loss is notably devastating, and generally leads to permanent disability. A 44-year-old man whose central visual acuity was completely preserved is presented.

摘要

脊柱手术后围手术期视力丧失已引起麻醉师、外科医生和患者的高度关注。围手术期缺血性视神经病变常发生于 50 岁以上的患者，与多种推测的危险因素有关，包括糖尿病、高血压、小杯盘比、术前贫血、术中低血压、俯卧位手术时间延长和手术期间大量失血。视力丧失是毁灭性的，通常导致永久性残疾。现介绍一名 44 岁男性患者，其中心视力完全保留。