Protecting Sight During Cardiac Surgery: Mechanisms, Risks, and Management of Perioperative Ocular Complications

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiac Surgery Pub Date : 2025-09-18 DOI:10.1155/jocs/5176617

Ye In Christopher Kwon, Yeseo Kwon, Michelle Burmistrova, David T. Zhu, Alan Lai, Andrew Min-Gi Park, Dean Zhang, David J. Ramsey, Michael P. Robich, Ahmet Kilic, Josue Chery, Vigneshwar Kasirajan, Zubair A. Hashmi

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Abstract

Ophthalmic complications during a major cardiac surgery are rare but may have serious consequences. Patients requiring intraoperative support from a cardiopulmonary bypass machine have an increased risk of developing ocular adverse effects because of significant hemodynamic alterations involving the systemic and ocular vasculature. Ocular conditions experienced by patients undergoing cardiac surgery range from corneal abrasions to retinal artery occlusions or ischemic optic neuropathies. Postoperative vision loss may also occur because of cerebrovascular pathologies, such as stroke, pituitary apoplexy, or even cortical blindness. Here, we review perioperative ophthalmic complications encountered in cardiac surgery patients to guide clinicians in their diagnosis and management.

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心脏手术期间的视力保护：围手术期眼部并发症的机制、风险和处理

大心脏手术期间的眼部并发症是罕见的，但可能有严重的后果。由于涉及全身和眼部血管的显著血流动力学改变，需要体外循环机术中支持的患者发生眼部不良反应的风险增加。接受心脏手术的患者所经历的眼部疾病范围从角膜擦伤到视网膜动脉闭塞或缺血性视神经病变。术后视力丧失也可能是由于脑血管病变，如中风、垂体中风，甚至皮质性失明。在此，我们回顾心脏手术患者围手术期所遇到的眼科并发症，以指导临床医生对其诊断和处理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cardiac Surgery 医学-外科

CiteScore

2.90

自引率

12.50%

发文量

976

审稿时长

3-8 weeks

期刊介绍： Journal of Cardiac Surgery (JCS) is a peer-reviewed journal devoted to contemporary surgical treatment of cardiac disease. Renown for its detailed "how to" methods, JCS''s well-illustrated, concise technical articles, critical reviews and commentaries are highly valued by dedicated readers worldwide. With Editor-in-Chief Harold Lazar, MD and an internationally prominent editorial board, JCS continues its 20-year history as an important professional resource. Editorial coverage includes biologic support, mechanical cardiac assist and/or replacement and surgical techniques, and features current material on topics such as OPCAB surgery, stented and stentless valves, endovascular stent placement, atrial fibrillation, transplantation, percutaneous valve repair/replacement, left ventricular restoration surgery, immunobiology, and bridges to transplant and recovery. In addition, special sections (Images in Cardiac Surgery, Cardiac Regeneration) and historical reviews stimulate reader interest. The journal also routinely publishes proceedings of important international symposia in a timely manner.