Ocular Complication in Cardiac Surgery

Authors Information
Article Notes and Dates
To Cite : Alizadeh Ghavidel L, Mosavi F, Mohammadzadeh A. Ocular Complication in Cardiac Surgery, Multidiscip Cardio Annal. 2017 ;8(1):e11500. doi: 10.5812/mcardia.11500.
1. Introduction
2. Blood Flow in Retina and Optic Nerve Head (ONH)
3. Hemodynamic Changes During Cardiac Surgery
4. Corneal Abrasion
5. Perioperative Visual Loss (POVL)
6. Retinal Ischemia During Cardiac Surgery
7. Retinal Artery Occlusion: Branch and Central Retinal Artery Occlusion
8. Ischemic Optic Neuropathy During Cardiac Surgery
9. Cortical Blindness
10. Pituitary Apoplexy
11. Conclusions
  • 1. Dunker S, Hsu HY, Sebag J, Sadun AA. Perioperative risk factors for posterior ischemic optic neuropathy1 1No competing interests declared. J Am Coll Surg. 2002; 194(6): 705-10[DOI]
  • 2. Roth S, Thisted RA, Erickson JP, Black S, Schreider BD. Eye injuries after nonocular surgery. A study of 60,965 anesthetics from 1988 to 1992. Anesthesiology. 1996; 85(5): 1020-7[PubMed]
  • 3. Obray JB, Long TR, Wass CT. A unique case of subconjunctival hemorrhage in a patient undergoing decompressive lumbar laminectomy. Anesthesiol. 2002; 96(1): 247-8[DOI]
  • 4. Grover V, Jangra K. Perioperative vision loss: A complication to watch out. J Anaesthesiol Clin Pharmacol. 2012; 28(1): 11-6[DOI][PubMed]
  • 5. Shen Y, Drum M, Roth S. The prevalence of perioperative visual loss in the United States: a 10-year study from 1996 to 2005 of spinal, orthopedic, cardiac, and general surgery. Anesth Analg. 2009; 109(5): 1534-45[DOI][PubMed]
  • 6. Warner ME, Warner MA, Garrity JA, MacKenzie RA, Warner DO. The Frequency of Perioperative Vision Loss. Anesth Analg. 2001; 93(6): 1417-21[DOI]
  • 7. Roth S. Perioperative visual loss: what do we know, what can we do? Br J Anaesth. 2009; 103 Suppl 1: 31-40[DOI][PubMed]
  • 8. Shaw PJ, Bates D, Cartlidge NE, Heaviside D, French JM, Julian DG, et al. Neuro-ophthalmological complications of coronary artery bypass graft surgery. Acta Neurol Scand. 1987; 76(1): 1-7[PubMed]
  • 9. Shahian DM, PK S. Symptomatic visual deficits after open heart operations. Ann Thorac Surg. 1989; 48(2): 275-9
  • 10. Buono LM, Foroozan R. Perioperative posterior ischemic optic neuropathy: review of the literature. Surv Ophthalmol. 2005; 50(1): 15-26[DOI][PubMed]
  • 11. Holy SE, Tsai JH, McAllister RK, KH S. Perioperative ischemic optic neuropathya case control analysis of 126,666 surgical procedures at a single institution. J Anesthesiology. 2009; 110(2): 246-53
  • 12. KL P. Committee on professional liability forms a new registry to investigate postoperative blindness. ASA Newsl. 1999; 63
  • 13. Francois J, Fryczkowski A. The blood supply of the optic nerve. Adv Ophthalmol. 1978; 36: 164-73[PubMed]
  • 14. Nenekidis I, Pournaras CJ, Tsironi E, Tsilimingas N. Vision impairment during cardiac surgery and extracorporeal circulation: current understanding and the need for further investigation. Acta Ophthalmol. 2012; 90(3): 168-72[DOI][PubMed]
  • 15. Eye Rounds. . Perioperative corneal abrasions: Systems-based review and analysis. 2012;
  • 16. Cucchiara RF, Black S. Corneal abrasion during anesthesia and surgery. Anesthesiol. 1988; 69: 978-9
  • 17. Cross DA, Krupin T. Implications of the effects of general anesthesia on basal tear production. Anesth Analg. 1977; 56(1): 35-7[PubMed]
  • 18. Moos DD, Lind DM. Detection and treatment of perioperative corneal abrasions. J Perianesth Nurs. 2006; 21(5): 332-8[DOI][PubMed]
  • 19. Berg KT, Harrison AR, Lee MS. Perioperative visual loss in ocular and nonocular surgery. Clin Ophthalmol. 2010; 4: 531-46[PubMed]
  • 20. Ozcan MS, Praetel C, Bhatti MT, Gravenstein N, Mahla ME, Seubert CN. The effect of body inclination during prone positioning on intraocular pressure in awake volunteers: a comparison of two operating tables. Anesth Analg. 2004; 99(4): 1152-8[DOI][PubMed]
  • 21. Murthy TS, Bhatia P, Prabhakar T, Gogna R. Postoperative visual loss. J Anaesthesiol Clin Pharmacol. 2006; 22(1): 3
  • 22. Bateman BT, Schumacher HC, Boden-Albala B, Berman MF, Mohr JP, Sacco RL, et al. Factors associated with in-hospital mortality after administration of thrombolysis in acute ischemic stroke patients: an analysis of the nationwide inpatient sample 1999 to 2002. Stroke. 2006; 37(2): 440-6[DOI][PubMed]
  • 23. Alpert JN, Pena Y, Leachman DR. Anterior ischemic optic neuropathy after coronary bypass surgery. Tex Med. 1987; 83(8): 45-7[PubMed]
  • 24. Pires CS, Remigio MC, Aguiar MI, Tenorio D, Moraes CR, Cavalcanti HD. [Ophthalmologic findings in cardiac transplant recipients]. Arq Bras Oftalmol. 2007; 70(5): 767-70[PubMed]
  • 25. Lee LA, Roth S, Posner KL, Cheney FW, Caplan RA, Newman NJ. The american society of anesthesiologists postoperative visual loss registryanalysis of 93 spine surgery cases with postoperative visual loss. J American Soc Anesthesiol. 2006; 105(4): 625-9
  • 26. Shapira OM, Kimmel WA, Lindsey PS, Shahian DM. Anterior ischemic optic neuropathy after open heart operations. Ann Thorac Surg. 1996; 61(2): 660-6[DOI][PubMed]
  • 27. Tice DA. Ischemic optic neuropathy and cardiac surgery. Ann Thorac Surg. 1987; 44(6): 677[PubMed]
  • 28. Herren JI, Kunzelman KS, Vocelka C, Cochran RP, Spiess BD. Angiographic and histological evaluation of porcine retinal vascular damage and protection with perfluorocarbons after massive air embolism. Stroke. 1998; 29(11): 2396-403[PubMed]
  • 29. Blauth CI, Arnold JV, Schulenberg WE, McCartney AC, Taylor KM. Cerebral microembolism during cardiopulmonary bypass. Retinal microvascular studies in vivo with fluorescein angiography. J Thorac Cardiovasc Surg. 1988; 95(4): 668-76[PubMed]
  • 30. Kalyani SD, Miller NR, Dong LM, Baumgartner WA, Alejo DE, Gilbert TB. Incidence of and risk factors for perioperative optic neuropathy after cardiac surgery. Ann Thorac Surg. 2004; 78(1): 34-7[DOI][PubMed]
  • 31. Sadda SR, Nee M, Miller NR, Biousse V, Newman NJ, Kouzis A. Clinical spectrum of posterior ischemic optic neuropathy. Am J Ophthalmol. 2001; 132(5): 743-50[PubMed]
  • 32. Selim M. Perioperative stroke. N Engl J Med. 2007; 356(7): 706-13[DOI][PubMed]
  • 33. Taugher PJ. Visual loss after cardiopulmonary bypass. Am J Ophthalmol. 1976; 81(3): 280-8[PubMed]
  • 34. Sibal L, Ball SG, Connolly V, James RA, Kane P, Kelly WF, et al. Pituitary apoplexy: a review of clinical presentation, management and outcome in 45 cases. Pituitary. 2004; 7(3): 157-63[DOI][PubMed]
  • 35. Fyrmpas G, Constantinidis J, Foroglou N, Selviaridis P. Pituitary apoplexy following endoscopic sinus surgery. J Laryngol Otol. 2009; 25: 1-3
  • 36. Shapiro LM. Pituitary apoplexy following coronary artery bypass surgery. J Surg Oncol. 1990; 44(1): 66-8[PubMed]
  • 37. Ayuk J, McGregor EJ, Mitchell RD, Gittoes NJ. Acute management of pituitary apoplexy--surgery or conservative management? Clin Endocrinol (Oxf). 2004; 61(6): 747-52[DOI][PubMed]
  • 38. Absalom M, Rogers KH, Moulton RJ, Mazer CD. Pituitary apoplexy after coronary artery surgery. Anesth Analg. 1993; 76(3): 648-9[PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiaion Alert via Google Reader

Cited By:

Multidisciplinary Cardiovascular Annals accepts terms & conditions of:

International Committee of Medical Journal Editors (ICMJE) Citedby Linking DOI enabled Crossref iThenticate COPE Cross Check