Monocular blindness due to central retinal artery occlusion in bipolar hemireplacement arthroplasty of the hip.
Though rare, perioperative loss of vision after non-ocular surgeries is a disastrous complication. This has been reported after spine surgery or cardiopulmonary bypass surgery. We present an otherwise healthy 54-year-old man who underwent bipolar hemireplacement for a fractured neck of femur, and developed perioperative monocular visual loss due to central retinal artery occlusion, a complication hitherto unreported in hip replacement surgeries. The possible aetiological factors and the measures to prevent this complication are discussed.
Pandey
V
V
Department of Orthopaedics, Kasturba Medical College, Manipal, Karnataka 576104, India. vivekortho@gmail.com
Rao
P S
PS
Rao
S K
SK
Acharya
K K V
KK
D000740:Anemia / Q000150:complications*; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D001766:Blindness / Q000209:etiology*; D005265:Femoral Neck Fractures / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015356:Retinal Artery Occlusion / Q000209:etiology*