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Related Experiment Video

Updated: May 28, 2026

Intraoperative Ultrasound in Spinal Surgery
05:53

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

[Visual loss after spine surgery. Imaging findings].

R Ben Khelifa El Moncer1, A Daghfous, S Felah

  • 1Service d'imagerie médicale, centre de traumatologie et des grands brûlés, Ben Arous, Tunis, Tunisie. raoudha.benkhelifa@rns.tn

Journal Francais D'Ophtalmologie
|October 22, 2011
PubMed
Summary

Postoperative visual loss after spinal surgery is rare but serious. This case highlights potential orbital vascular injury as a cause, suggesting strategies for prevention.

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Area of Science:

  • Ophthalmology
  • Neurosurgery
  • Vascular Surgery

Background:

  • Postoperative visual loss (POVL) is a rare yet devastating complication following spinal surgery.
  • The incidence of POVL is estimated to be between 0.01% and 0.2%.

Observation:

  • A 39-year-old female patient experienced unilateral blindness post-cervical spine surgery.
  • The patient had sustained trauma to the cervical spine resulting in right hemiplegia prior to surgery.
  • Ophthalmologic examination revealed no ocular globe involvement, but orbitocerebral MRI suggested orbital vascular injury.

Findings:

  • The patient developed monocular blindness one day after a prolonged spinal operation in the prone position.
  • Despite a year of treatment, visual symptoms did not fully resolve.

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Last Updated: May 28, 2026

Intraoperative Ultrasound in Spinal Surgery
05:53

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Published on: August 17, 2022

The Third Channel-Assisted Unilateral Biportal Endoscopic Technique for Lumbar Spinal Stenosis Combined with Contralateral Disc Herniation
06:26

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  • Orbital vascular injury was diagnosed as the likely cause of the visual loss.

    • Implications:

    • This case underscores the importance of considering orbital vascular injury in the differential diagnosis of POVL after spinal surgery.
    • Identifying etiological factors is crucial for developing preventative strategies.
    • Further research into risk factors and protective measures is warranted to minimize POVL incidence.