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J Neurosci Rural Pract. 2017 Apr-Jun;8(2):288-290. doi: 10.4103/jnrp.jnrp_470_16.

Unilateral Vision Loss without Ophthalmoplegia as a Rare Complication of Spinal Surgery.

Author information

1
Department of Neurosurgery, Karatay University Medical Faculty, Medicana Hospital, Konya, Turkey.
2
Department of Neurosurgery, Safa Hospital, İstanbul, Turkey.
3
2Department of Ophthalmology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.

Abstract

Postoperative visual loss is an extremely rare complication of nonocular surgery. The most common causes are ischemic optic neuropathy, central retinal artery occlusion, and cerebral ischemia. Acute visual loss after spinal surgery is even rarer. The most important risk factors are long-lasting operations, massive bleedings, fluid overload, hypotension, hypothermia, coagulation disorders, direct trauma, embolism, long-term external ocular pressure, and anemia. Here, we present a case of a 54-year-old male who developed acute visual loss in his left eye after a lumbar instrumentation surgery and was diagnosed with retinal artery occlusion.

KEYWORDS:

Lumbar instrumentation; nonocular surgery; postoperative visual loss; retinal artery embolism; retinal artery occlusion

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