Abri Aghdam Kaveh, Aghajani Ali, Soltan Sanjari Mostafa, Yavari Azadeh
Department of Ophthalmology, Eye Research Center, the Five Senses Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Neuroophthalmology. 2020 Oct 26;45(4):261-264. doi: 10.1080/01658107.2020.1828495. eCollection 2021.
Ischaemic optic neuropathy (ION) following non-ocular surgeries is a rare but devastating complication. Spine and cardiovascular surgical procedures are well known to be accompanied by this complication. ION after liposuction surgery is gaining attention during the past decades due to the escalating demand for this procedure. We report a case of unilateral anterior ION (AION) after abdominoplasty and liposuction in an eye with optic disc drusen (ODD), which has not been reported previously. The presence of ODD is not only an independent risk factor for AION in young patients, but could also be the underlying cause of the ischaemic insult to the optic nerve head in haemodynamically unstable patients.
非眼科手术后发生的缺血性视神经病变(ION)是一种罕见但具有毁灭性的并发症。脊柱和心血管外科手术与这种并发症密切相关。在过去几十年中,由于抽脂手术需求不断增加,抽脂术后的ION越来越受到关注。我们报告了一例在有视盘小疣(ODD)的眼中,腹部整形术和抽脂术后发生单侧前部缺血性视神经病变(AION)的病例,此前尚未有过此类报道。ODD的存在不仅是年轻患者发生AION的独立危险因素,也可能是血流动力学不稳定患者视神经乳头缺血性损伤的潜在原因。