dc.contributor.author
Fischer, Charlotte
dc.contributor.author
Bruggemann, Anne
dc.contributor.author
Hager, Annette
dc.contributor.author
Planas, Josep Callizo
dc.contributor.author
Roider, Johann
dc.contributor.author
Hoerauf, Hans
dc.date.accessioned
2018-06-08T11:12:11Z
dc.date.available
2017-08-24T10:47:30.144Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/21800
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-25088
dc.description.abstract
Background. Ocular vascular occlusions following intraocular procedures are a
rare complication. We report a case series of patients with retinal vascular
occlusions or anterior ischemic optic neuropathy (AION) after anterior and
posterior segment surgery and demonstrate possible risk factors. Methods.
Observational case series. Results. In ten patients, vascular occlusions were
observed within ten weeks after intraocular surgery: branch retinal arterial
occlusion (BRAO) (n = 2), central retinal artery occlusion (CRAO) (n = 2),
central retinal vein occlusion (CRVO) (n = 1), branch retinal vein occlusion
(BRVO) (n = 1), anterior ischemic optic neuropathy (AION) (n = 3), and
combined central artery and vein occlusion (n = 1). AION occurred later (27–69
d) than arterial occlusions (14–60 d) or venous occlusions (1-2 d). In all
cases, either specific surgical manipulations or general vascular disorders
were identified as risk factors. In addition to general cardiovascular risk
factors (arterial hypertension n = 6, diabetes mellitus n = 4), internal
workup disclosed bilateral stenosis of the carotid arteries (n = 1) and
myeloproliferative syndrome (n = 1). Conclusion. Vascular occlusions after
surgical ocular procedures seem to be more frequent when cardiovascular
diseases coexist. Surgical maneuvers and intra- or postoperative pressure
changes may act as a triggering mechanism in patients with underlying systemic
cardiovascular disorders. Affected patients should undergo thorough internal
examination to identify possible underlying diseases.
en
dc.format.extent
6 Seiten
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/
dc.subject
ischemic optic neuropathy
dc.subject
retinal artery-occlusion
dc.subject
vitreoretinal surgery
dc.subject
intraocular-pressure
dc.subject
retrobulbar anesthesia
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Vascular occlusions following ocular surgical procedures
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation
Journal of Ophthalmology. - 2017 (2017), Artikel Nr. 9120892
dc.title.subtitle
a clinical observation of vascular complications after ocular surgery
dcterms.bibliographicCitation.doi
10.1155/2017/9120892
dcterms.bibliographicCitation.url
http://doi.org/10.1155/2017/9120892
refubium.affiliation
Charité - Universitätsmedizin Berlin
de
refubium.affiliation.other
Klinik für Augenheilkunde
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refubium.mycore.fudocsId
FUDOCS_document_000000027619
refubium.note.author
Der Artikel wurde in einer reinen Open-Access-Zeitschrift publiziert.
refubium.resourceType.isindependentpub
no
refubium.mycore.derivateId
FUDOCS_derivate_000000008645
dcterms.accessRights.openaire
open access