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J Neuroophthalmol. 2007 Dec;27(4):285-7.

Posterior ischemic optic neuropathy after minimally invasive prostatectomy.

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  • 1Ophthalmology Service, Walter Reed Army Medical Center, Washington, DC, USA.


Two patients developed postoperative ischemic optic neuropathy (ION) after laparoscopic radical prostatectomy. One operation was robotically assisted; the other was performed with the conventional laparoscopic technique. These new minimally invasive techniques offer many advantages, but they require steep supine head-flexed (Trendelenburg) positioning. Until they are mastered by surgeons, operative times may be prolonged beyond those associated with the traditional technique. As a result, ION may occur more frequently.

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