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Ocular complications of perioperative anesthesia: a review

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Abstract

Ocular complications associated with anesthesia in ocular and non-ocular surgeries are rare adverse events which may present with clinical presentations vacillating between easily treatable corneal abrasions to more serious complication such as irreversible bilateral vision loss. In this review, we outline the different techniques of anesthetic delivery in ocular surgeries and highlight the incidence and etiologies of associated injuries. The changes in vision in non-ocular surgeries are mistaken for residual sedation or anesthetics, therefore require high clinical suspicion on part of the treating ophthalmologists, to ensure early diagnosis, adequate and swift management especially in surgeries such as cardiac, spine, head and neck, and some orthopedic procedures, that have a comparatively higher incidence of ocular complications. In this article, we review the literature for reports on the clinical incidence of different ocular complications associated with anesthesia in non-ocular surgeries and outline the current understanding of pathophysiological processes associated with these adverse events.

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  1. Rohan Bir Singh and Tanvi Khera contributed equally to this work.

Authors and Affiliations

  1. Massachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical School, Boston, MA, 02114, USA

    Rohan Bir Singh, Chhavi Saini & Wonkyung Cho

  2. Department of Ophthalmology, Leiden University Medical Center, ZA, 2333, Leiden, The Netherlands

    Rohan Bir Singh

  3. Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, MA, 02215, Boston, USA

    Tanvi Khera

  4. University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA

    Victoria Ly

  5. Department of Anesthesiology, Yale School of Medicine, New Haven, CT, 06510, USA

    Sukhman Shergill

  6. Dayanand Medical College & Hospital, Ludhiana, 141001, India

    Kanwar Partap Singh

  7. Advanced Eye Center, Department of Ophthalmology, Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh, 160012, India

    Aniruddha Agarwal

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Singh, R.B., Khera, T., Ly, V. et al. Ocular complications of perioperative anesthesia: a review. Graefes Arch Clin Exp Ophthalmol 259, 2069–2083 (2021). https://doi.org/10.1007/s00417-021-05119-x

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