Anterior ischemic optic neuropathy following neck dissection

✍ Scribed by Scott E. Strome; Jimmy S. Hill; Michael A. Burnstine; Jill Beck; Douglas B. Chepeha; Ramon M. Esclamado

• Book ID: 101245074
• Publisher: John Wiley and Sons
• Year: 1997
• Tongue: English
• Weight: 131 KB
• Volume: 19
• Category: Article
• ISSN: 1043-3074
• DOI: 10.1002/(sici)1097-0347(199703)19:2<148::aid-hed11>3.0.co;2-9

✦ Synopsis

Background: Ischemic optic neuropathy (ION) is a painless, spontaneous vision loss event in midrare but devastating complication of surgery. It has traditionally dle-aged and elderly individuals. 1 It has also been associated with intraoperative hypotension in patients with underlying arteriosclerosis.

been reported after many nonopthalmologic sur-Methods: We present a case of ION following bilateral neck gical procedures. 2 Intraoperative factors associdissections in which there was minimal intraoperative hypotension ated with acute visual loss include anemia, and preservation of both internal jugular veins. The potential etiolhypotension, blood loss, arteriosclerosis, and ogy of this disease is discussed along with a review of the literature.