Ocular injury during spine surgery.

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Ryan E HoferMatthew A Warner

Abstract

Ocular injury and vision loss are rare complications of surgery. Spine surgery has been identified as particularly high risk for postoperative vision loss; nevertheless, ocular injuries have not been comprehensively assessed in this patient population. This historical cohort study assessed incidence, cause, and risk factors of perioperative ocular injury after spine surgery at a tertiary care medical centre from January 1, 2006 through January 31, 2018. Patients were included who had ocular injury identified during an ophthalmology consultation in the first seven postoperative days. Differences in demographic, laboratory, intraoperative, and postoperative characteristics between those experiencing or not experiencing ocular injury were assessed with Fisher exact and Wilcoxon signed-rank tests for categorical and continuous variables, respectively. Of 20,128 qualifying spine surgeries, 39 cases of perioperative ocular injuries were identified (39/20,128; 0.19% [95% confidence interval (CI), 0.14 to 0.26]). The most common ocular injury was blurry vision of unknown cause (13/39; 33%; 95% CI, 18.6 to 46.4), followed by ischemic optic neuropathy (9/39; 23%; 95% CI, 12.6 to 38.3) and corneal abrasion (7/39; 18%; 95% CI, 9.0 to 32.7)...Continue Reading

References

May 1, 1977·Anesthesia and Analgesia·Y K Batra, I M Bali
May 1, 1992·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P G DuncanD DeBoer
Feb 1, 1992·Anesthesiology·W M GildF W Cheney
Dec 1, 1988·Anesthesiology·R F Cucchiara, S Black
Jun 15, 1997·Spine·W R StevensD S Bradford
Mar 25, 2008·American Journal of Ophthalmology·Nancy J Newman
Mar 2, 2010·Journal of the American Medical Informatics Association : JAMIA·Christopher G ChuteDavid N Mohr
Sep 25, 2010·Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists·Han-Dung YuChee-Jen Chang
Dec 22, 2011·Anesthesiology·UNKNOWN Postoperative Visual Loss Study Group
Jun 9, 2016·Surgical Neurology International·Nancy E Epstein

❮ Previous
Next ❯

Citations

Jan 24, 2020·Journal of Neurosurgical Anesthesiology·Jeffrey J Pasternak

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.