Visual loss in one eye after spinal surgery
To report a patient who developed an unusual combination of central retinal artery occlusion with ophthalmoplegia following spinal surgery in the prone position. 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 o...
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| Veröffentlicht in: | Korean journal of ophthalmology 2006-06, Vol.20 (2), p.139-142 |
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| container_title | Korean journal of ophthalmology |
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| creator | Chung, Min-Su Son, Jun-Hyuk |
| description | To report a patient who developed an unusual combination of central retinal artery occlusion with ophthalmoplegia following spinal surgery in the prone position.
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.
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.
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. |
| doi_str_mv | 10.3341/kjo.2006.20.2.139 |
| format | Article |
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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.
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.
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.</description><identifier>ISSN: 1011-8942</identifier><identifier>DOI: 10.3341/kjo.2006.20.2.139</identifier><identifier>PMID: 16892653</identifier><language>eng</language><publisher>Korea (South): The Korean Ophthalmological Society</publisher><subject>Blindness - etiology ; Case Report ; Cervical Vertebrae - injuries ; Cervical Vertebrae - surgery ; Diagnosis, Differential ; Fluorescein Angiography ; Follow-Up Studies ; Fundus Oculi ; Humans ; Laminectomy - adverse effects ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Neck Injuries - diagnosis ; Neck Injuries - surgery ; Ophthalmoplegia - complications ; Ophthalmoplegia - diagnosis ; Postoperative Complications ; Retinal Artery Occlusion - complications ; Retinal Artery Occlusion - diagnosis ; Severity of Illness Index ; Visual Acuity</subject><ispartof>Korean journal of ophthalmology, 2006-06, Vol.20 (2), p.139-142</ispartof><rights>Copyright © 2006 by the Korean Ophthalmological Society 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3129-4c1cd8fb823ed4ba9599087e9d9d787a14e2a7b0ba78e139f391dec9d6f6eb1e3</citedby><cites>FETCH-LOGICAL-c3129-4c1cd8fb823ed4ba9599087e9d9d787a14e2a7b0ba78e139f391dec9d6f6eb1e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908830/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908830/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16892653$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chung, Min-Su</creatorcontrib><creatorcontrib>Son, Jun-Hyuk</creatorcontrib><title>Visual loss in one eye after spinal surgery</title><title>Korean journal of ophthalmology</title><addtitle>Korean J Ophthalmol</addtitle><description>To report a patient who developed an unusual combination of central retinal artery occlusion with ophthalmoplegia following spinal surgery in the prone position.
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.
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.
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.</description><subject>Blindness - etiology</subject><subject>Case Report</subject><subject>Cervical Vertebrae - injuries</subject><subject>Cervical Vertebrae - surgery</subject><subject>Diagnosis, Differential</subject><subject>Fluorescein Angiography</subject><subject>Follow-Up Studies</subject><subject>Fundus Oculi</subject><subject>Humans</subject><subject>Laminectomy - adverse effects</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neck Injuries - diagnosis</subject><subject>Neck Injuries - surgery</subject><subject>Ophthalmoplegia - complications</subject><subject>Ophthalmoplegia - diagnosis</subject><subject>Postoperative Complications</subject><subject>Retinal Artery Occlusion - complications</subject><subject>Retinal Artery Occlusion - diagnosis</subject><subject>Severity of Illness Index</subject><subject>Visual Acuity</subject><issn>1011-8942</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUMtOwzAQ9AFES-EDuKCcuKAEr53G9gUJVbykSlyAq-XEm-KSxsVukPr3uKLicdk9zOzM7BByBrTgvISr96UvGKVVGgUrgKsDMgYKkEtVshE5jnGZUOBUHJERVFKxasrH5PLVxcF0WedjzFyf-R4z3GJm2g2GLK5dn8A4hAWG7Qk5bE0X8XS_J-Tl7vZ59pDPn-4fZzfzvOHAVF420FjZ1pJxtGVt1FQpKgUqq6yQwkCJzIia1kZITEFbrsBio2zVVlgD8gm5_tZdD_UKbYP9JphOr4NbmbDV3jj9H-ndm174T82Sj-Q0CVzsBYL_GDBu9MrFBrvO9OiHqCspQClZJiJ8E5uQ_g_Y_pgA1btadapV72pNQzOd0qab87_pfi_2nfIvpzl25A</recordid><startdate>20060601</startdate><enddate>20060601</enddate><creator>Chung, Min-Su</creator><creator>Son, Jun-Hyuk</creator><general>The Korean Ophthalmological Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20060601</creationdate><title>Visual loss in one eye after spinal surgery</title><author>Chung, Min-Su ; Son, Jun-Hyuk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3129-4c1cd8fb823ed4ba9599087e9d9d787a14e2a7b0ba78e139f391dec9d6f6eb1e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Blindness - etiology</topic><topic>Case Report</topic><topic>Cervical Vertebrae - injuries</topic><topic>Cervical Vertebrae - surgery</topic><topic>Diagnosis, Differential</topic><topic>Fluorescein Angiography</topic><topic>Follow-Up Studies</topic><topic>Fundus Oculi</topic><topic>Humans</topic><topic>Laminectomy - adverse effects</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neck Injuries - diagnosis</topic><topic>Neck Injuries - surgery</topic><topic>Ophthalmoplegia - complications</topic><topic>Ophthalmoplegia - diagnosis</topic><topic>Postoperative Complications</topic><topic>Retinal Artery Occlusion - complications</topic><topic>Retinal Artery Occlusion - diagnosis</topic><topic>Severity of Illness Index</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chung, Min-Su</creatorcontrib><creatorcontrib>Son, Jun-Hyuk</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Korean journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chung, Min-Su</au><au>Son, Jun-Hyuk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visual loss in one eye after spinal surgery</atitle><jtitle>Korean journal of ophthalmology</jtitle><addtitle>Korean J Ophthalmol</addtitle><date>2006-06-01</date><risdate>2006</risdate><volume>20</volume><issue>2</issue><spage>139</spage><epage>142</epage><pages>139-142</pages><issn>1011-8942</issn><abstract>To report a patient who developed an unusual combination of central retinal artery occlusion with ophthalmoplegia following spinal surgery in the prone position.
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.
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.
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.</abstract><cop>Korea (South)</cop><pub>The Korean Ophthalmological Society</pub><pmid>16892653</pmid><doi>10.3341/kjo.2006.20.2.139</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1011-8942 |
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| source | KoreaMed Synapse; MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central Open Access; KoreaMed Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Blindness - etiology Case Report Cervical Vertebrae - injuries Cervical Vertebrae - surgery Diagnosis, Differential Fluorescein Angiography Follow-Up Studies Fundus Oculi Humans Laminectomy - adverse effects Magnetic Resonance Imaging Male Middle Aged Neck Injuries - diagnosis Neck Injuries - surgery Ophthalmoplegia - complications Ophthalmoplegia - diagnosis Postoperative Complications Retinal Artery Occlusion - complications Retinal Artery Occlusion - diagnosis Severity of Illness Index Visual Acuity |
| title | Visual loss in one eye after spinal surgery |
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