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Lee J, Chin JH, Koh WU, et al. Unilateral postoperative visual loss in a patient undergoing hip arthroscopy in the supine position: a case report. Korean J Anesthesiol. 2016;69(2):197-9doi: 10.4097/kjae.2016.69.2.197.
Lee, J., Chin, J. H., Koh, W. U., Ro, Y. J., & Yang, H. S. (2016). Unilateral postoperative visual loss in a patient undergoing hip arthroscopy in the supine position: a case report. Korean journal of anesthesiology, 69(2), 197-9. https://doi.org/10.4097/kjae.2016.69.2.197
Lee, Joohyun, et al. "Unilateral postoperative visual loss in a patient undergoing hip arthroscopy in the supine position: a case report." Korean journal of anesthesiology vol. 69,2 (2016): 197-9. doi: https://doi.org/10.4097/kjae.2016.69.2.197
Lee J, Chin JH, Koh WU, Ro YJ, Yang HS. Unilateral postoperative visual loss in a patient undergoing hip arthroscopy in the supine position: a case report. Korean J Anesthesiol. 2016 Apr;69(2):197-9. doi: 10.4097/kjae.2016.69.2.197. Epub 2016 Mar 30. PMID: 27066213; PMCID: PMC4823420.
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Korean J Anesthesiol. 2016 Apr;69(2):197-9. doi: 10.4097/kjae.2016.69.2.197. Epub 2016 Mar 30.

Unilateral postoperative visual loss in a patient undergoing hip arthroscopy in the supine position: a case report.

Korean journal of anesthesiology

Joohyun Lee, Ji-Hyun Chin, Won-Uk Koh, Young-Jin Ro, Hong-Seuk Yang

Affiliations

  1. Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

PMID: 27066213 PMCID: PMC4823420 DOI: 10.4097/kjae.2016.69.2.197

Abstract

Micro-emboli have been reported to occur commonly during arthroscopic surgery, which is frequently performed as an orthopedic surgical procedure. We here report a patient who experienced unilateral postoperative visual loss after a hip arthroscopy using irrigation fluid in the supine position without any evidence of external compression to either eye throughout the surgical procedure. Retinal fundoscopy suggested that the patient had central retinal artery occlusion, one of the causes of the postoperative visual loss. This case suggests that arthroscopic surgery may pose a substantial risk for paradoxical air embolism, such as central retinal artery occlusion, and suggests the need to prevent the entry of micro-air bubbles during such a type of surgery.

Keywords: Air embolism; Arthroscopy; Postoperative period; Retinal artery occlusion; Visual loss

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