Acute Blindness of Right Eye after Cervical Spine Surgery in the Prone Position: A case report.
10.4097/kjae.1998.34.4.871
- Author:
Jeong Jin LEE
1
;
Yun Sang KWON
;
Jung Sook HONG
;
Yu Hong KIM
Author Information
1. Department of Anesthesiology, Samsung Medical Center, SungKyunKwan University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Complications: blindness;
Position: prone;
Surgery: cervical spine
- MeSH:
Anemia;
Anesthesia, General;
Blindness*;
Humans;
Hypotension;
Prone Position*;
Retinal Artery Occlusion;
Retinaldehyde;
Scotoma;
Spine*;
Visual Acuity
- From:Korean Journal of Anesthesiology
1998;34(4):871-874
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We observed a patient who had central retinal artery occlusion with severely reduced visual acuity and characteristic retinal changes after cervical spine surgery under general anesthesia. In acute stage, visual acuity was slightly improved. But over course of several months, there was no improvement in visual acuity and central scotoma was remained. There were no evidences of hypotension or anemia during operation. The only presumptive cause was direct external ocular compression by horseshoe headrest. It is necessary to pay attention to eyes when prone positioning in the patients of cervical spine surgery.
