
Acute visual loss with ophthalmoplegia after spinal surgery: Report of a case and review of the literature
Author(s) -
Bipasha Mukherjee,
Mohammad Shahid Alam
Publication year - 2014
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.143951
Subject(s) - medicine , optic neuropathy , surgery , complication , external ophthalmoplegia , blindness , hearing loss , ischemic optic neuropathy , spinal surgery , cortical blindness , optic nerve , ophthalmology , audiology , optometry , biochemistry , chemistry , gene , mitochondrial dna
We report a case of a 15-year-old boy who presented with profound visual loss and complete ophthalmoplegia after an uneventful spinal surgery for removal of cervical osteoblastoma. Postoperative visual loss following nonocular surgery is, fortunately rare, yet a devastating complication. The most common cause is ischemic optic neuropathy, but it can also be due to central retinal occlusion or cortical blindness. Visual loss in conjunction with ophthalmoplegia is rarely seen, and there are very few reports in the literature. We also review the related literature and highlight the mechanism and preventive measures.