Visual Loss in One Eye after Spinal Surgery
Korean Journal of Ophthalmology
;
: 139-142, 2006.
Artigo
em Inglês
| WPRIM
| ID: wpr-152030
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Complicações Pós-Operatórias
/
Índice de Gravidade de Doença
/
Imageamento por Ressonância Magnética
/
Angiofluoresceinografia
/
Oclusão da Artéria Retiniana
/
Acuidade Visual
/
Vértebras Cervicais
/
Oftalmoplegia
/
Cegueira
/
Seguimentos
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Journal of Ophthalmology
Ano de publicação:
2006
Tipo de documento:
Artigo
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