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Postoperative Blindness Following Posterior Cervical Surgery: Case Reports.

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Posterior cervical surgery blindness (PCSB) is a rare complication. Early thrombolysis can improve vision, but careful surgical positioning and postoperative care are crucial for prevention.

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Area of Science:

  • Ophthalmology
  • Neurosurgery
  • Medical Complications

Background:

  • Posterior cervical surgery blindness (PCSB) is a rare but severe complication.
  • It has significant implications for patient outcomes and recovery.

Purpose of the Study:

  • To analyze two cases of PCSB.
  • To identify risk factors and potential preventative strategies.

Main Methods:

  • Retrospective analysis of two patient cases with PCSB.
  • Review of surgical procedures, patient conditions, and treatment outcomes.

Main Results:

  • Case 1: Blindness due to central retinal artery occlusion after prone positioning surgery; vision improved with thrombolysis.
  • Case 2: Blindness due to vitreous hemorrhage after prone positioning surgery; vision did not recover.
  • PCSB is associated with prone positioning and horseshoe headrests.

Conclusions:

  • Early intra-arterial thrombolysis can significantly improve visual recovery in PCSB.
  • Preoperative counseling, meticulous intraoperative management, and proactive postoperative care are vital for risk reduction.