Perda visual no pós‐operatório de laminectomia cervical em pronação
Author(s) -
Kumar Naren Chandra,
Meghraj Kundan
Publication year - 2017
Publication title -
brazilian journal of anesthesiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.307
H-Index - 29
eISSN - 1806-907X
pISSN - 0034-7094
DOI - 10.1016/j.bjan.2017.03.003
Subject(s) - medicine , central retinal artery occlusion , surgery , complication , retinal artery occlusion , etiology , incidence (geometry) , prone position , visual acuity , ophthalmology , retinal , physics , psychiatry , optics
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.
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