Perioperative vision loss after sequential lower extremity fracture surgery: a case report.

ABSTRACT: Perioperative vision loss (POVL) is a rare but serious complication, most frequently reported after cardiac and prone spinal surgeries. POVL following lower extremity surgery is uncommon. We herein report a case of POVL in a man in his mid-thirties after a third surgery to repair a lower extremity fracture. The patient developed vision loss 3 hours postoperatively following sequential surgeries for a lower extremity fracture. Before the third surgery, he was in a hypercoagulable state, and tranexamic acid was administered to reduce intraoperative blood loss. After POVL occurred, anticoagulant and antithrombotic agents, as well as high-dose steroid pulse therapy, were promptly administered. The patient's vision recovered 3 days later, with no abnormalities found during follow-up visits over

SUBMITTER: Luo R 

PROVIDER: S-EPMC11603587 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature