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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.
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.