Postoperative Visual Loss Following Spine Surgery: A Case Report

  • Sabin Bhandari Department of Anaesthesiology and Critical care, B.P. Koirala Insitute of Health Sciences, Dharan, Nepal https://orcid.org/0000-0002-4890-2228
  • Krishna Pokharel Department of Anaesthesiology and Critical care, B.P. Koirala Insitute of Health Sciences, Dharan, Nepal
  • Birendra Prasad Sah Department of Anaesthesiology and Critical care, B.P. Koirala Insitute of Health Sciences, Dharan, Nepal
Keywords: ischaemic optic neuropathy; postoperative visual loss; spine surgery.

Abstract

Postoperative visual loss is a rare but devastating complication of non-ophthalmic surgery. Its aetiology is poorly understood and multiple associated factors have been proposed. We present a report of a 33-year-old female who developed irreversible diminution of vision on the right eye (non-arteritic-posterior-ischemic-optic-neuropathy) following general anaesthesia for pedicle screw fixation and plating for fracture vertebrae and hip in prone position and then screw placement for fracture calcaneum in supine position. The vision loss, limited to finger count close to face on the right eye, did not improve till follow-up at one-year. The combination of mild intraoperative hypotension, anaemia, prone positioning, prolonged surgery and anaesthesia may have contributed to postoperative visual loss in our patient.

 

Published
2019-08-31
How to Cite
Bhandari, S., Pokharel, K., & Sah, B. P. (2019). Postoperative Visual Loss Following Spine Surgery: A Case Report. Journal of Nepal Medical Association, 57(218). https://doi.org/10.31729/jnma.4539
Section
Case Reports