A Rare Case of Monocular Visual Loss after Spinal Surgery in Prone Position with Adequate Eye Protection
The aim of this case report is to present a rare case of monocular visual loss after spinal surgery in prone position with adequate eye protection. A 38-year-old healthy woman underwent an uncomplicated cervical surgery in prone position, while her head was supported on a foam cushion horseshoe head...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2019-03-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676168 |
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| author | Naresh Kannan Babu Piyush Kohli Suresh Palaniappan Ilango Krishnamurthi Kim Ramasamy |
| author_facet | Naresh Kannan Babu Piyush Kohli Suresh Palaniappan Ilango Krishnamurthi Kim Ramasamy |
| author_sort | Naresh Kannan Babu |
| collection | DOAJ |
| description | The aim of this case report is to present a rare case of monocular visual loss after spinal surgery in prone position with adequate eye protection. A 38-year-old healthy woman underwent an uncomplicated cervical surgery in prone position, while her head was supported on a foam cushion horseshoe headrest. Immediately after recovery, the patient complained of loss of vision in her left eye. Her best-corrected visual acuity was perception of light. Ocular examination was suggestive of central retinal artery occlusion (CRAO). Blood investigations, carotid Doppler, echography, and computed tomography scan were normal. The incidence of CRAO has decreased in the past decade due to the use of appropriate head rest. In addition to following the guidelines laid by the Perioperative Visual Loss (POVL) Task Force of American Society of Anesthesiologists, attention must be paid to avoid any accidental intraoperative movement of the patient. Checking the eyes intermittently is not a foolproof method for preventing compression. New headrests need to be designed, which will allow continuous monitoring of the patient lying in prone position. |
| format | Article |
| id | doaj-art-4b3d5f815e354aa583ea6fb6cb9a0c21 |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2019-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-4b3d5f815e354aa583ea6fb6cb9a0c212025-08-20T02:38:33ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672019-03-01080105706010.1055/s-0038-1676168A Rare Case of Monocular Visual Loss after Spinal Surgery in Prone Position with Adequate Eye ProtectionNaresh Kannan Babu0Piyush Kohli1Suresh Palaniappan2Ilango Krishnamurthi3Kim Ramasamy4Department of Vitreoretinal Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, Tamil Nadu, IndiaDepartment of Vitreoretinal Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, Tamil Nadu, IndiaDepartment of Anesthesia, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, IndiaDepartment of Ophthalmology, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, IndiaDepartment of Vitreoretinal Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, Tamil Nadu, IndiaThe aim of this case report is to present a rare case of monocular visual loss after spinal surgery in prone position with adequate eye protection. A 38-year-old healthy woman underwent an uncomplicated cervical surgery in prone position, while her head was supported on a foam cushion horseshoe headrest. Immediately after recovery, the patient complained of loss of vision in her left eye. Her best-corrected visual acuity was perception of light. Ocular examination was suggestive of central retinal artery occlusion (CRAO). Blood investigations, carotid Doppler, echography, and computed tomography scan were normal. The incidence of CRAO has decreased in the past decade due to the use of appropriate head rest. In addition to following the guidelines laid by the Perioperative Visual Loss (POVL) Task Force of American Society of Anesthesiologists, attention must be paid to avoid any accidental intraoperative movement of the patient. Checking the eyes intermittently is not a foolproof method for preventing compression. New headrests need to be designed, which will allow continuous monitoring of the patient lying in prone position.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676168central retinal artery occlusionperioperative visual losspronespinalheadrest |
| spellingShingle | Naresh Kannan Babu Piyush Kohli Suresh Palaniappan Ilango Krishnamurthi Kim Ramasamy A Rare Case of Monocular Visual Loss after Spinal Surgery in Prone Position with Adequate Eye Protection Indian Journal of Neurosurgery central retinal artery occlusion perioperative visual loss prone spinal headrest |
| title | A Rare Case of Monocular Visual Loss after Spinal Surgery in Prone Position with Adequate Eye Protection |
| title_full | A Rare Case of Monocular Visual Loss after Spinal Surgery in Prone Position with Adequate Eye Protection |
| title_fullStr | A Rare Case of Monocular Visual Loss after Spinal Surgery in Prone Position with Adequate Eye Protection |
| title_full_unstemmed | A Rare Case of Monocular Visual Loss after Spinal Surgery in Prone Position with Adequate Eye Protection |
| title_short | A Rare Case of Monocular Visual Loss after Spinal Surgery in Prone Position with Adequate Eye Protection |
| title_sort | rare case of monocular visual loss after spinal surgery in prone position with adequate eye protection |
| topic | central retinal artery occlusion perioperative visual loss prone spinal headrest |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1676168 |
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