Advertisement

European Spine Journal

, Volume 21, Supplement 4, pp 495–498 | Cite as

Transient bilateral post-operative visual loss in spinal surgery

  • Nasir A. QuraishiEmail author
  • Jean-Paul Wolinsky
  • Ziya L. Gokaslan
Case Report

Abstract

Background

Post-operative visual loss (POVL) following spinal surgery is a rare but devastating complication. Although a number of intra-operative and post-operative factors have been implicated, the exact etiology may still remain unclear.

Purpose

To report a unique case of transient bilateral POVL in a patient who had undergone lumbar surgery in the prone position.

Study design/setting

This patient was followed up prospectively for 1 year.

Methods

Prospective follow-up of a single patient following spinal surgery, who developed transient bilateral POVL.

Results

This patient’s visual loss improved within 48 h.

Conclusion

This is the only documented case of POVL to have resolved completely within 48 h.

Keywords

Post-operative Visual loss Spinal surgery 

Notes

Conflict of interest

None of the authors has any potential conflict of interest.

References

  1. 1.
    Myers MA, Hamilton SR, Bogosian AJ, Smith CH, Wagner TA (1997) Visual loss as a complication of spine surgery. A review of 37 cases. Spine 22:1325–1329PubMedCrossRefGoogle Scholar
  2. 2.
    Breuer A, Furlan AJ, Hanson MR, Lederman RJ, Loop FD, Cosgrove DM et al (1983) Central nervous system complications of coronary artery bypass graft surgery: prospective analysis of 421 patients. Stroke 14:682–687PubMedCrossRefGoogle Scholar
  3. 3.
    Roth S, Thisted RA, Erickson JP, Black S, Schreider BD (1996) Eye injuries after nonocular surgery. A study of 60,965 anesthetics from 1988 to 1992. Anesthesiology 85:1020–1027PubMedCrossRefGoogle Scholar
  4. 4.
    Stevens W, Glazer PA, Kelley SD, Lietman TM, Bradford DS (1997) Ophthalmic complications after spinal surgery. Spine 22:1319–1324PubMedCrossRefGoogle Scholar
  5. 5.
    Williams EL (2002) Postoperative blindness. Anesthesiol Clin N Am 20:367–384CrossRefGoogle Scholar
  6. 6.
    Katz DM, Trobe JD, Cornblath WT, Kline LB (1994) Ischemic optic neuropathy after lumbar spine surgery. Arch Ophthalmol 112:25–31CrossRefGoogle Scholar
  7. 7.
    Lee AG (1995) Ischemic optic neuropathy following lumbar spine surgery. J Neurosurg 83:348–349PubMedCrossRefGoogle Scholar
  8. 8.
    Roth S, Barach P (2001) Postoperative visual loss: still no answers yet. Anesthesiology 95:575–577PubMedCrossRefGoogle Scholar
  9. 9.
    Brown RH, Schauble JF, Miller NR (1994) Anemia and hypotension as contributors to perioperative loss of vision. Anesthesiology 80:222–226PubMedCrossRefGoogle Scholar
  10. 10.
    Lee LA, Roth S, Posner KL, Cheney FW, Caplan RA, Newman NJ, Domino KB (2006) The American society of anesthesiologists postoperative visual loss registry: analysis of 93 spine surgery cases with postoperative visual loss. Anesthesiology 105:652–659PubMedCrossRefGoogle Scholar
  11. 11.
    Baig MN, Lubow M, Immesoete P, Bergese SD, Hamdy E, Mendel E (2007) Vision loss after spine surgery: review of literature and recommendations. Neurosurg Focus 23(5):1–9CrossRefGoogle Scholar
  12. 12.
    Heitz JW, Audu PB (2008) Asymmetric postoperative visual loss after spine surgery in the lateral decubitus position. Br J Anesth 101(3):380–382CrossRefGoogle Scholar
  13. 13.
    Kamming D, Clarke S (2005) Postoperative visual loss following prone spinal surgery. Br J Anesth 95(2):257–260CrossRefGoogle Scholar
  14. 14.
    Nakra D, Bala I, Pratap M, Kaur H (2007) Unilateral postoperative visual loss due to central retinal artery occlusion following cervical spine surgery in the prone position. Pediatr Anesth 17:805–808CrossRefGoogle Scholar
  15. 15.
    Warner MA (2006) Postoperative visual loss: experts, data and practice. Anesthesiology 105:641–642PubMedCrossRefGoogle Scholar
  16. 16.
    Rizzo JF III, Lessell S (1987) Posterior ischemic optic neuropathy during general surgery. Am J Ophthalmol 103:808–811PubMedGoogle Scholar
  17. 17.
    Berdahl JP, Allingham RR (2010) Intracranial pressure and glaucoma. Curr Opin Ophthalmol 21(2):106–111PubMedCrossRefGoogle Scholar
  18. 18.
    Dunker S, Hsu HY, Sebag J, Sadun AA (2001) Perioperative risk factors for posterior ischemic optic neuropathy. J Am Coll Surg 194(6):705–710CrossRefGoogle Scholar
  19. 19.
    Ozcan MS, Praetel C, Bhatti MT, Gravenstein N, Mahla ME, Seubert CN (2004) The effect of body inclination during prone positioning on intraocular pressure in awake volunteers: a comparison of two operating tables. Anesth Analg 99:1152–1158PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Nasir A. Quraishi
    • 1
    Email author
  • Jean-Paul Wolinsky
    • 2
  • Ziya L. Gokaslan
    • 2
  1. 1.Centre for Spine Studies and SurgeryQueens Medical CentreNottinghamUK
  2. 2.Department of NeurosurgeryThe Johns Hopkins University School of MedicineBaltimoreUSA

Personalised recommendations