Visual Loss in One Eye after Spinal Surgery
Korean Journal of Ophthalmology
; : 139-142, 2006.
Article
en En
| WPRIM
| ID: wpr-152030
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: To report a patient who developed an unusual combination of central retinal artery occlusion with ophthalmoplegia following spinal surgery in the prone position. METHODS: A 60-year-old man underwent a cervical spinal surgery in the prone position. Soon after recovery he could not open his right eye and had ocular pain due to the general anesthesia. Upon examination, we determined that he had a central retinal artery occlusion with total ophthalmoplegia. RESULTS: Despite medical treatment, optic atrophy was still present at the following examination. Ptosis and the afferent pupillary defect disappeared and ocular motility was recovered, but visual loss persisted until the last follow-up. CONCLUSIONS: A prolonged prone position during spinal surgery can cause external compression of the eye, causing serious and irreversible injury to the orbital structures. Therefore, if the patient shows postoperative signs of orbital swelling after spinal surgery the condition should be immediately evaluated and treated.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Complicaciones Posoperatorias
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Índice de Severidad de la Enfermedad
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Imagen por Resonancia Magnética
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Angiografía con Fluoresceína
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Oclusión de la Arteria Retiniana
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Agudeza Visual
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Vértebras Cervicales
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Oftalmoplejía
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Ceguera
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Estudios de Seguimiento
Tipo de estudio:
Diagnostic_studies
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Observational_studies
/
Prognostic_studies
Límite:
Humans
/
Male
Idioma:
En
Revista:
Korean Journal of Ophthalmology
Año:
2006
Tipo del documento:
Article