Abstract |
In a prospective study of neurological complications of coronary bypass surgery, detailed pre- and post-operative bedside ophthalmological evaluation was undertaken in 312 patients. Post-operative neuro-ophthalmological complications developed in 80/312 (25.6%) patients and included: areas of retinal infarction (17.3%); retinal emboli (2.6%); visual field defects (2.6%); reduction of visual acuity (4.5%) and Horner's syndrome (1.3%). Neuro-ophthalmological complications were not observed in a control group of 50 patients undergoing major peripheral vascular surgery. Ten of 75 patients reviewed at 6 months still had detectable neuro-ophthalmological abnormalities, but functional disability occurred only in those with persistent visual field defects. Multivariate analysis revealed that extra-coronary vascular disease, severe and prolonged duration of heart disease prior to operation, and large drop in haemoglobin level during surgery may predispose to neuro-ophthalmological complications.
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Authors | P J Shaw, D Bates, N E Cartlidge, D Heaviside, J M French, D G Julian, D A Shaw |
Journal | Acta neurologica Scandinavica
(Acta Neurol Scand)
Vol. 76
Issue 1
Pg. 1-7
(Jul 1987)
ISSN: 0001-6314 [Print] Denmark |
PMID | 3498286
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Adult
- Aged
- Coronary Artery Bypass
- Embolism
(etiology)
- Female
- Horner Syndrome
(etiology)
- Humans
- Infarction
(etiology)
- Male
- Middle Aged
- Postoperative Complications
(etiology)
- Retinal Diseases
(etiology)
- Retinal Vessels
- Visual Acuity
- Visual Fields
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