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Blindness and rectus muscle damage following spinal surgery
Nishant Kumar1, Sharmila Jivan, Nicola Topping
1St. James's University Hospital, Leeds, United Kingdom. nishant6377@aol.com
American Journal of Ophthalmology
|November 9, 2004
Summary
A rare case of blindness and rectus muscle damage occurred due to ocular compression during spinal surgery. This emphasizes the need for precautions to prevent such devastating visual complications.
Area of Science:
- Ophthalmology
- Neurosurgery
- Spinal Surgery
Background:
- Spinal surgery, particularly in the prone position, carries potential risks.
- Ocular complications following spinal procedures are uncommon but can be severe.
Observation:
- A 16-year-old female developed sudden vision loss in her right eye post-scoliosis surgery.
- Clinical examination revealed no light perception, periorbital bruising, and impaired eye movement (adduction).
Findings:
- Orbital CT identified medial rectus muscle swelling, attributed to ischemia from globe compression.
- Retinal and optic nerve ischemia secondary to ocular compression resulted in permanent vision loss.
Implications:
- This case highlights blindness as a rare but serious complication of spinal surgery.
- Implementing preventative measures against ocular compression is crucial to avoid permanent visual impairment.