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Intraoperative Ultrasound in Spinal Surgery

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Visual loss after spine surgery.

Kapil Mohan¹, Saurabh Rawall, Abhay Nene

¹Department of Orthopaedics, P. D. Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai, India.

Indian Journal of Orthopaedics

|February 21, 2012

Summary

This summary is machine-generated.

Perioperative visual loss, often ischemic optic neuropathy, affects 0.06%-0.2% of patients. This case study details a hypertensive patient

Keywords:

Spine surgery degenerative scoliosis vision loss

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Area of Science:

Ophthalmology
Neurosurgery
Medical Case Study

Background:

Perioperative visual loss (PVL) is a rare but serious complication.
Ischemic optic neuropathy (ION) is the most common cause of PVL.
PVL incidence ranges from 0.06% to 0.2%.

Purpose of the Study:

To report a case of unilateral visual loss after spinal surgery.
To present the one-year follow-up of the patient's visual recovery.
To highlight the importance of identifying high-risk patients for PVL.

Main Methods:

Case report of a 50-year-old hypertensive female undergoing lumbar decompression and fusion.
Documentation of visual acuity and fundus examination findings.
One-year follow-up assessment of visual function.

Main Results:

The patient experienced painless, unilateral visual loss post-surgery.
Fundus examination revealed normal findings.
Visual acuity improved from finger counting close to face to finger counting at 3 meters over one year.

Conclusions:

Early recognition and management are crucial for visual recovery.
Identifying high-risk individuals can aid in preoperative counseling and prevention.
This case underscores the potential for visual improvement even after significant PVL.