Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2016.11.003
Brazilian Journal of Anesthesiology
Clinical Informations

Post operative visual loss after cervical laminectomy in prone position

Perda visual no pós-operatório de laminectomia cervical em pronação

Kumar Naren Chandra; Meghraj Kundan

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Abstract

Abstract Postoperative visual loss is a rare and devastating complication. The estimated incidence is 0.01-1% after non ocular surgery. It has been reported after spine, cardiac and head and neck surgeries. We report a patient who was operated for cervical laminectomy in prone position and complained of loss of vision in one eye postoperatively. He was thoroughly investigated after visual loss. The case was diagnosed as central retinal artery occlusion (CRAO) of the left eye. Here we consider the potential etiological factors causing this unilateral loss of vision and try to suggest strategies to reduce the incidence of the complication in spinal surgery.

Keywords

Spine surgery, Postoperative visual loss, Prone position, Central retinal artery occlusion

Resumo

Resumo A perda visual pós-operatória é uma complicação rara e devastadora. A incidência estimada é de 0,01-1% após cirurgia não oftalmológica. Há relatos de sua ocorrência após cirurgias da coluna, cardíaca e de cabeça e pescoço. Relatamos o caso de um paciente submetido à laminectomia cervical em pronação que se queixou de perda de visão em um dos olhos no pós-operatório. O paciente foi profundamente investigado após a perda visual. O caso foi diagnosticado como oclusão da artéria central da retina (CRAO) do olho esquerdo. Aqui consideramos os potenciais fatores etiológicos que causam essa perda unilateral da visão e tentamos sugerir estratégias para reduzir a incidência dessa complicação em cirurgia de coluna vertebral.

Palavras-chave

Cirurgia da coluna, Perda visual pós-operatória, Posição prona, Oclusão da artéria central da retina

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