Publication: Post-operative Unilateral Visual Loss and Ophthalmoplegia following Cervical Spine Surgery in Prone Position: A Case Report
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Visual loss following a spine surgery in a prone position is a disastrous and irreversible complication. Moreover, the recommended treatment for such visual loss is lacking and the outcome is not so satisfactory. A 38-year-old gentleman developed profound right sided visual loss after an uneventful cervical spine surgery in a prone position that lasted approximately two and half hours. Immediate
ophthalmic consultation was done and the case was diagnosed as right-sided central retinal artery occlusion. Despite the initiation of vasodilatation, anticoagulation, and adequate fluid infusion, satisfactory improvement was not achieved. Extensive review of pertinent literature highlighted limited efficacy of treatments for postoperative visual loss after prone spinal surgery, further emphasizing the importance of preventive measures as the cornerstone in such procedures.
Description
Samaj Gautam
Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences,Kathmandu, Nepal
Suzit Bhusal
Research and Development Unit, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal
Ashlesha Chaudhary
Research and Development Unit, National Trauma Center, National Academy of Medical Sciences, Kathmandu, Nepal
Reshika Shrestha
Maharajgunj Medical Campus, Institute of Medicine, kathmandu, Nepal
Badri Rijal
Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences,Kathmandu, Nepal
Prakash Darjee
Department of Orthopedics and Trauma Surgery, Bharatpur Hospital, Chitwan, Nepal
Surya Bajra Lama
Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences,Kathmandu, Nepal