Leiden University Scholarly Publications

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Singh, R.B.; Khera, T.; Ly, V.; Saini, C.; Cho, W.; Shergill, S.; ... ; Agarwal, A. (2021)

Ocular complications of perioperative anesthesia: a review

Article / Letter to editor
Ocular complications associated with anesthesia in ocular and non-ocular surgeries are rare adverse events which may present with clinical presentations vacillating between easily treatable corneal abrasions to more serious complication such as irreversible bilateral vision loss. In this review, we outline the different techniques of anesthetic delivery in ocular surgeries and highlight the incidence and etiologies of associated injuries. The changes in vision in non-ocular surgeries are mistaken for residual sedation or anesthetics, therefore require high clinical suspicion on part of the treating ophthalmologists, to ensure early diagnosis, adequate and swift management especially in surgeries such as cardiac, spine, head and neck, and some orthopedic procedures, that have a comparatively higher incidence of ocular complications. In this article, we review the literature for reports on the clinical incidence of different ocular complications associated with anesthesia in non...Show moreOcular complications associated with anesthesia in ocular and non-ocular surgeries are rare adverse events which may present with clinical presentations vacillating between easily treatable corneal abrasions to more serious complication such as irreversible bilateral vision loss. In this review, we outline the different techniques of anesthetic delivery in ocular surgeries and highlight the incidence and etiologies of associated injuries. The changes in vision in non-ocular surgeries are mistaken for residual sedation or anesthetics, therefore require high clinical suspicion on part of the treating ophthalmologists, to ensure early diagnosis, adequate and swift management especially in surgeries such as cardiac, spine, head and neck, and some orthopedic procedures, that have a comparatively higher incidence of ocular complications. In this article, we review the literature for reports on the clinical incidence of different ocular complications associated with anesthesia in non-ocular surgeries and outline the current understanding of pathophysiological processes associated with these adverse events.Show less
Anesthesia
Ocular trauma
Perioperative vision loss
Retinal ischemia
Ocular hypertension
All authors
Singh, R.B.; Khera, T.; Ly, V.; Saini, C.; Cho, W.; Shergill, S.; Singh, K.P.; Agarwal, A.
Date
2021-02-24
Journal
Graefe's Archive for Clinical and Experimental Ophthalmology
DOI
doi:10.1007/s00417-021-05119-x