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本文引用的文献

1
Intracranial pressure and glaucoma.颅内压与青光眼。
Curr Opin Ophthalmol. 2010 Mar;21(2):106-11. doi: 10.1097/ICU.0b013e32833651d8.
2
Asymmetric postoperative visual loss after spine surgery in the lateral decubitus position.侧卧位脊柱手术后的不对称性术后视力丧失。
Br J Anaesth. 2008 Sep;101(3):380-2. doi: 10.1093/bja/aen163. Epub 2008 Jun 9.
3
Vision loss after spine surgery: review of the literature and recommendations.脊柱手术后的视力丧失:文献综述与建议
Neurosurg Focus. 2007;23(5):E15. doi: 10.3171/FOC-07/11/15.
4
Unilateral postoperative visual loss due to central retinal artery occlusion following cervical spine surgery in prone position.俯卧位颈椎手术后因视网膜中央动脉阻塞导致的单侧术后视力丧失。
Paediatr Anaesth. 2007 Aug;17(8):805-8. doi: 10.1111/j.1460-9592.2007.02222.x.
5
The American Society of Anesthesiologists Postoperative Visual Loss Registry: analysis of 93 spine surgery cases with postoperative visual loss.美国麻醉医师协会术后视力丧失登记处:93例脊柱手术后视力丧失病例分析
Anesthesiology. 2006 Oct;105(4):652-9; quiz 867-8. doi: 10.1097/00000542-200610000-00007.
6
Postoperative visual loss: experts, data, and practice.术后视力丧失:专家、数据与实践
Anesthesiology. 2006 Oct;105(4):641-2. doi: 10.1097/00000542-200610000-00002.
7
Postoperative visual loss following prone spinal surgery.俯卧位脊柱手术后的视力丧失
Br J Anaesth. 2005 Aug;95(2):257-60. doi: 10.1093/bja/aei173. Epub 2005 Jun 10.
8
The effect of body inclination during prone positioning on intraocular pressure in awake volunteers: a comparison of two operating tables.清醒志愿者俯卧位时身体倾斜对眼压的影响:两种手术台的比较
Anesth Analg. 2004 Oct;99(4):1152-1158. doi: 10.1213/01.ANE.0000130851.37039.50.
9
Postoperative blindness.术后失明
Anesthesiol Clin North Am. 2002 Sep;20(3):605-622, viii. doi: 10.1016/s0889-8537(02)00007-x.
10
Perioperative risk factors for posterior ischemic optic neuropathy.后部缺血性视神经病变的围手术期危险因素。
J Am Coll Surg. 2002 Jun;194(6):705-10. doi: 10.1016/s1072-7515(02)01210-3.

脊柱手术后一过性双侧术后视力丧失。

Transient bilateral post-operative visual loss in spinal surgery.

机构信息

Centre for Spine Studies and Surgery, Queens Medical Centre, West Block, D Floor, Derby Road, Nottingham, NG7 2UH, UK.

出版信息

Eur Spine J. 2012 Jun;21 Suppl 4(Suppl 4):S495-8. doi: 10.1007/s00586-011-2117-7. Epub 2011 Dec 15.

DOI:10.1007/s00586-011-2117-7
PMID:22170448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3369061/
Abstract

BACKGROUND

Post-operative visual loss (POVL) following spinal surgery is a rare but devastating complication. Although a number of intra-operative and post-operative factors have been implicated, the exact etiology may still remain unclear.

PURPOSE

To report a unique case of transient bilateral POVL in a patient who had undergone lumbar surgery in the prone position.

STUDY DESIGN/SETTING: This patient was followed up prospectively for 1 year.

METHODS

Prospective follow-up of a single patient following spinal surgery, who developed transient bilateral POVL.

RESULTS

This patient's visual loss improved within 48 h.

CONCLUSION

This is the only documented case of POVL to have resolved completely within 48 h.

摘要

背景

脊柱手术后发生的术后视力丧失(POVL)是一种罕见但严重的并发症。尽管已经涉及到许多术中及术后因素,但确切的病因仍可能不明确。

目的

报告一例在俯卧位行腰椎手术后出现短暂性双侧 POVL 的患者。

研究设计/设置:对一名接受脊柱手术后出现短暂性双侧 POVL 的患者进行前瞻性随访 1 年。

方法

对一名接受脊柱手术后出现短暂性双侧 POVL 的患者进行前瞻性随访。

结果

该患者的视力丧失在 48 小时内得到改善。

结论

这是唯一一例在 48 小时内完全恢复的 POVL 病例。