Visual Field Defect after Cardiac Surgery: The Striking Role of Interdisciplinary Collaboration
Joint Authors
Nuzzi, Raffaele
Lavia, Carlo Alessandro
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-07
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Perioperative visual loss (POVL) is a potentially devastating complication that can occur following ocular or nonocular surgery.
The leading causes of this disease are retinal vascular occlusions, ischemic optic neuropathies, and cortical blindness.
POVL pathogenesis is strictly influenced by surgery, anesthesia, and patients’ comorbidities.
We report of a 55-year-old caucasian man who presented with complaints of sudden painless loss of vision and unilateral campimetric deficit.
We recorded a preserved visual acuity but at fundus examination a bilateral ischemic optic neuropathy (ION) was suspected.
Our hypothesis was supported by uncommon and peculiar visual field defects and a history of cardiovascular surgery shortly before was a striking data.
When we examined his medical records we found strong accordance with what is reported in literature to be risk factors for postoperative ION development.
He presented intraoperative hypotension, anemia, and hypothermia, he was older than 50 years, and surgery lasted for more than five hours.
We are currently monitoring his visual acuity and visual fields which remain unchanged.
As there is no proved therapy for such severe adverse events, we recommend intraoperative check of blood pressure, blood loss, and body temperature, associated with repeated eye checks and patients’ interview.
American Psychological Association (APA)
Nuzzi, Raffaele& Lavia, Carlo Alessandro. 2015. Visual Field Defect after Cardiac Surgery: The Striking Role of Interdisciplinary Collaboration. Case Reports in Ophthalmological Medicine،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059416
Modern Language Association (MLA)
Nuzzi, Raffaele& Lavia, Carlo Alessandro. Visual Field Defect after Cardiac Surgery: The Striking Role of Interdisciplinary Collaboration. Case Reports in Ophthalmological Medicine No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1059416
American Medical Association (AMA)
Nuzzi, Raffaele& Lavia, Carlo Alessandro. Visual Field Defect after Cardiac Surgery: The Striking Role of Interdisciplinary Collaboration. Case Reports in Ophthalmological Medicine. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059416
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059416