Table 2.
Surgical details of 20 patients developing anterior ischemic optic neuropathy at any time after cataract surgery from 1990 through 2016
Patient | Time interval to AION |
Surgery | Year of Surgery | Anesthesia | Complications | Intraocular lens | Fellow eye NAION |
---|---|---|---|---|---|---|---|
1 | 1m 7d | Phaco | 2009 | RB | None | PCIOL | No |
2 | 1m 12d | Phaco | 1997 | RB | None | PCIOL | No |
3 | 3m 14d | Phaco | 2011 | RB | Persistent inflammation POD7 |
PCIOL | No |
4 | 4m 9d | Phaco | 2013 | PB | None | PCIOL | No |
5 | 4m 22d | Phaco | 2008 | RB | None | PCIOL | No |
6 | 5m 10d | Phaco | 2000 | RB | None | PCIOL | No |
7 | 6m 2d | Phaco | 2012 | RB | None | PCIOL | No |
8 | 6m 22d | Phaco | 1995 | PB | IOP of 24 on POD1 | PCIOL | Yes, sAION 15 y prior* |
9 | 11m 22d | Phaco | 2001 | PB | None | PCIOL | No |
10 | 1y 1m 21d | Phaco | 1998 | RB + VL | None | PCIOL | No |
11 | 2y 1m 14d | Phaco | 1999 | ? | None | PCIOL | No |
12 | 2y 6m 4d | Phaco | 2012 | RB | None | PCIOL | No |
13 | 3y 6m 27d | Phaco | 2010 | ? | None | PCIOL | No |
14 | 4y 0m 20d | Phaco | 1998 | RB + VL | None | PCIOL | No |
15 | 7y 7m 12d | Phaco | 2008 | RB or PB | None | PCIOL | No |
16 | 8y 2m 21d | ECCE | 1982 | RB | None | PCIOL | No |
17 | 8y 3m 9d | Phaco | 2001 | RB | None | PCIOL | No |
18 | 9y 1m 11d | Phaco | 1997 | RB | None | PCIOL | No |
19 | 10y 4m 30d | Phaco | 2005 | PB | None | PCIOL | No |
20 | 12y 4m 28d | ECCE | 1982 | ? | ? | PCIOL | No |
Abbreviations: AION- anterior ischemic optic neuropathy, d-day/s, ECCE-extracapsular cataract extraction, GA-general anesthesia, m-month/s, NAION- non-arteritic anterior ischemic optic neuropathy, PB-peribulbar, pcsAION- post-cataract surgery anterior ischemic optic neuropathy, PCIOL- posterior chamber intraocular lens, Phaco-phacoemulsification, POD- post-operative day, q1hr- every one hour, RB-retrobulbar, VL-van Lindt facial nerve block, y-year/s
Shaded area- pcsAION cohort used in incidence calculation
in relation to study eye AION event