吉林大学学报（医学版）2019，Vol.45Issue(1)：156-159,4.DOI:10.13481/j.1671-587x.20190129
全身麻醉非眼科手术患者术后发生眼损伤2例报告及文献复习
Eye injury after non-ocular surgery in patients underwent general anesthesia:A report of 2 cases and literature review
摘要
Abstract
Objective:To study the pathogenesis and the risk factors of eye injury after non-ocular surgery in the patients underwent general anesthesia, and to provide the reference for its prevention, diagnosis and treatment.Methods:The clinical materials of two patients with eye injury after non-ocular surgery underwent general anesthesia were analyzed and the related literatures were reviewed.Results:A young woman patient underwent laparoscopic hysterectomy with general anesthesia while positioned Trendelenburg, the eyes were being closed naturally without protection, and corneal abrasion of both eyes occurred after operation.The lesion had completely resolved with no sequelae after treatment.An old man underwent cervical posterior laminoplasty with general anesthesia in prone position developed ischemic optic neuropathy (ION) after operation.The vision of the patients partly recovered after symptomatic treatment.Conclusion:Corneal abrasion is the most frequent ophthalmologic complication during general anesthesia, most of the patients have good prognosis.Postoperative visual loss (POVL) is the most severe ophthalmologic complication without effective treatment available, the delicate reasons and mechanisms are not totally clear, prevention outweighs treatment.关键词
全身麻醉/眼损伤/角膜擦伤/术后视力丧失/缺血性视神经病变/视网膜中央动脉阻塞Key words
general anesthesia/eye injury/corneal abrasion/postoperative visual loss/ischemic optic neuropathy/central retinal artery occlusion分类
医药卫生引用本文复制引用
张宁,朴美花,王美堃,刘楠,冯春生..全身麻醉非眼科手术患者术后发生眼损伤2例报告及文献复习[J].吉林大学学报（医学版）,2019,45(1):156-159,4.基金项目
吉林省科技厅科技发展计划项目资助课题(20150101170JC) （20150101170JC）
