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BJA Advance Access originally published online on June 9, 2008
British Journal of Anaesthesia 2008 101(3):380-382; doi:10.1093/bja/aen163
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2008. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Asymmetric postoperative visual loss after spine surgery in the lateral decubitus position

J. W. Heitz* and P. B. Audu

Department of Anesthesiology, Jefferson Medical College, Thomas Jefferson University Hospital, Thomas Jefferson University, 111 S 11th St, Suite 8490, Philadelphia, PA 19107, USA

* Corresponding author. E-mail: james.heitz{at}jefferson.edu

Postoperative visual loss (POVL) is a rare but potentially devastating complication associated with spine surgery. In 1999, the American Society of Anesthesiologists Committee on Professional Liability established a POVL Registry to examine cases in search of common elements. Most cases of POVL after spine surgery which have been reported to the POVL Registry have been associated with intraoperative prone positioning. We present an atypical case that occurred after spine surgery performed in the lateral decubitus position.

Keywords: complications; ophthalmic; position, lateral decubitus; surgery, spinal


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