LumbarIschemic Optic NeuropathyComplicating Spine Surgery-A Case Report.
Dhurvas Ramlal Ramprasath1, Vasudevan Thirunarayanan2, Arjun Rajan3
1Department of Orthopaedics, Institute of Orthopaedics and Traumatology, Coimbatore Medical College Hospital, Coimbatore, Tamil Nadu, India.
Journal of Orthopaedic Case Reports
|May 15, 2020
Summary
Post-operative vision loss (POVL) is a rare but serious complication, particularly after spine surgery. Prompt diagnosis and treatment of posterior ischemic optic neuropathy (ION) can lead to vision recovery.
Area of Science:
- Ophthalmology
- Neurosurgery
- Spine Surgery
Background:
- Post-operative vision loss (POVL) is an uncommon yet severe complication following major surgeries, predominantly observed in orthopedic spine procedures.
- Pathologies like ischemic optic neuropathy (ION) and central retinal artery occlusion, often exacerbated by increased intraocular pressure, contribute to POVL.
- Lumbar ION, a specific type of ION linked to lumbar spine surgery, has a low incidence (0.02%) but devastating consequences.
