单侧视力丧失且无眼肌麻痹作为脊柱手术的罕见并发症
Unilateral Vision Loss without Ophthalmoplegia as a Rare Complication of Spinal Surgery.
作者信息
Akpınar Elif, Gürbüz Mehmet Sabri, Bitirgen Gülfidan, Okutan Mehmet Özerk
机构信息
Department of Neurosurgery, Karatay University Medical Faculty, Medicana Hospital, Konya, Turkey.
Department of Neurosurgery, Safa Hospital, İstanbul, Turkey.
出版信息
J Neurosci Rural Pract. 2017 Apr-Jun;8(2):288-290. doi: 10.4103/jnrp.jnrp_470_16.
Postoperative visual loss is an extremely rare complication of nonocular surgery. The most common causes are ischemic optic neuropathy, central retinal artery occlusion, and cerebral ischemia. Acute visual loss after spinal surgery is even rarer. The most important risk factors are long-lasting operations, massive bleedings, fluid overload, hypotension, hypothermia, coagulation disorders, direct trauma, embolism, long-term external ocular pressure, and anemia. Here, we present a case of a 54-year-old male who developed acute visual loss in his left eye after a lumbar instrumentation surgery and was diagnosed with retinal artery occlusion.
术后视力丧失是一种极为罕见的非眼科手术并发症。最常见的原因是缺血性视神经病变、视网膜中央动脉阻塞和脑缺血。脊柱手术后急性视力丧失更为罕见。最重要的危险因素包括手术时间长、大量出血、液体超负荷、低血压、体温过低、凝血障碍、直接创伤、栓塞、长期眼球外压迫和贫血。在此，我们报告一例54岁男性患者，其在腰椎内固定手术后左眼出现急性视力丧失，被诊断为视网膜动脉阻塞。
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