The "devil's touch"; visual loss and orbital surgery. A synopsis of the Mustardé Lecture, 2006.
Visual loss is a devastating complication after orbital surgery, particularly that at the orbital apex or alongside the optic nerve. The clinical characteristics of 14 such patients, representing less than 1% of orbital surgery performed, are presented and the possible mechanisms discussed. The majority of patients suffered a posterior ischaemic optic neuropathy and this is likely to be related to postoperative vasospasm induced by extravasated blood and inflammatory mediators.
Rose
Geoffrey E
GE
Orbital Clinic, Moorfields Eye Hospital, London, UK.
D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009916:Orbital Diseases / Q000601:surgery*; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D012307:Risk Factors; D014786:Vision Disorders / Q000209:etiology*