Hönemann Christian, Brandt Ludwig
From the *Marienhospital Vechta, gGmbH, Abteilung für Anästhesie und Intensivmedizin, Vechta, Germany; and †HELIOS Klinikum Wuppertal, Universitätsklinikum der Universität Witten/Herdecke, Wuppertal, Germany.
A A Case Rep. 2015 Dec 15;5(12):231-3. doi: 10.1213/XAA.0000000000000245.
Sudden visual loss after general anesthesia is a rare and serious complication. Unilateral visual loss can be caused by an increase in pressure in the preretinal veins with subsequent rupture and hematoma formation. Our patient most likely experienced an increase in venous pressure as a consequence of temporarily increased intrapulmonary pressures during a sustained Valsalva maneuver shortly after tracheal intubation. Although surgical correction is available, in almost all cases, no specific therapy is required because the problem completely regresses spontaneously.
全身麻醉后突发视力丧失是一种罕见且严重的并发症。单侧视力丧失可能由视网膜前静脉压力升高,随后破裂并形成血肿所致。我们的患者很可能是由于气管插管后不久进行持续瓦尔萨尔瓦动作时肺内压力暂时升高,导致静脉压力升高。尽管有手术矫正方法,但在几乎所有情况下,无需特殊治疗,因为该问题会完全自行消退。