Article ; Online: Posterior Ischemic Optic Neuropathy After Extensive Spine Surgery: A Case Report and Review of the Literature.
2019 Volume 87, Issue 1, Page(s) 37–42
Abstract: Postoperative vision loss (POVL) after spine surgery is a rare but devastating complication. Because of its rarity (incidence < 0.2%), POVL might not be considered for inclusion in an informed consent by surgeons and anesthesia providers. We present a ... ...
Abstract | Postoperative vision loss (POVL) after spine surgery is a rare but devastating complication. Because of its rarity (incidence < 0.2%), POVL might not be considered for inclusion in an informed consent by surgeons and anesthesia providers. We present a case of POVL due to posterior ischemic optic neuropathy following prone spine surgery. Posterior ischemic optic neuropathy is characterized by acute painless vison loss that is progressive and irreversible. Our case is atypical because the patient experienced moderate improvement of visual acuity. Increased awareness and understanding of risk factors associated with POVL is an important and timely patient safety topic. In this report we review different pathophysiologies and risk factors for POVL following spine surgery along with recommendations for informed consent and strategies to reduce the incidence of POVL. |
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MeSH term(s) | Aged ; Anesthesia/adverse effects ; Bone Neoplasms/secondary ; Carcinoma, Renal Cell/secondary ; Diagnosis, Differential ; Humans ; Kidney Neoplasms/pathology ; Lumbar Vertebrae ; Magnetic Resonance Imaging ; Male ; Neoplasm Metastasis ; Optic Neuropathy, Ischemic/chemically induced ; Optic Neuropathy, Ischemic/diagnosis ; Postoperative Complications/chemically induced ; Postoperative Complications/diagnosis ; Spinal Fractures/diagnostic imaging ; Spinal Fractures/surgery |
Language | English |
Publishing date | 2019-10-06 |
Publishing country | United States |
Document type | Case Reports ; Journal Article ; Review |
ZDB-ID | 603605-3 |
ISSN | 2162-5239 ; 0094-6354 |
ISSN (online) | 2162-5239 |
ISSN | 0094-6354 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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