非眼科手术后失明原因探析

Analysis of visual loss after non-ocular surgery

摘要:

非眼科手术失明(visual loss after non-ocular surgery，VLNOS)包括手术后视力丧失(postoperative visual loss)和围手术期视力丧失(perioperative visual loss)，前者表现为手术中已失明或手术后的即刻失明，后者表现为围手术期的术后急性视力丧失，可见于俯卧位脊柱手术、心脏体外循环手术、头颈部手术以及面部微整形注射等治疗后，是一种少见的、极为严重的并发症。VLNOS分为可预测性和不可预测性，已引起相关学科与眼科的关注，并开始探索可能的原因并采取积极的预防措施。

Abstract:

Visual loss after non-ocular surgery(VLNOS)includes postoperative visual loss and perioperative visual loss after non-ocular surgery. The former accident consists of the blindness during a surgery or after a surgery, and the latter accident shows the acute visual loss in perioperative period. VLNOS can be appeared in a prone spinal surgery, cardiopulmonary bypass surgery, head and neck surgery, and facial micro-plastic injection treatment, which is a rare, extremely serious complication. VLNOS is divided into predictable and unpredictable condition. Doctors of related subjects have pay attention to VLNOS, and begin to study the possible reasons, and take positive precautions.