Non artheritic bilateral anterior ischaemic optic neuropathy (NAION) as devastating complication following Total Hip Arthroplasty: a case report Bilateral visual loss following total Hip Arthoplasty

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Alfonso Manzotti
Alice Schianchi
Lucia Pace
Giuliano Salvadori
Alessio Biazzo
Pietro Cerveri


Bilateral visus loss; total hip arthroplasty; case report



Perioperative vision loss is an extremely rare complication following major surgical procedures. Patients with systemic hypertension, diabetes, coronary diseases and smokers are generally predisposed to this tremendous complication. Most often, it is caused by ischemic optic neuropathy, central retinal artery occlusion or retinal vein occlusion.In the literature, rare cases of unilateral perioperative vision loss PLV following total joint arthroplasty surgery have been recently described.

Case report:

The present case report describes the first bilateral report of a non-arteritic anterior ischemic optic neuropathy 3 days later a total hip arthroplasty following a post operative hypotension.


Orthopaedic surgeons should be advise about potential ischaemic optic neuropathy occurring in selected patient in association with both hypotension and prolonged surgical times following hip joint replacement.



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