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BJA Advance Access published online on June 10, 2005
British Journal of Anaesthesia, doi:10.1093/bja/aei173
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2005. All rights reserved. For Permissions, please e-mail: journal.permissions@oupjournals.org
Accepted April 12, 2005

Case Report

Postoperative visual loss following prone spinal surgery

D. Kamming 1 and S. Clarke 1*

1 University College London Hospitals NHS Foundation Trust, London, UK

* To whom correspondence should be addressed.
S. Clarke, E-mail: simon.clarke{at}uclh.nhs.uk


  Abstract

Postoperative visual loss is a rare but disastrous complication that has an estimated incidence of 0.01-1% after non-ocular surgery. We report a patient who underwent a prolonged spinal operation in the prone position and complained of blindness in one eye postoperatively. We consider the potential aetiological factors contributing to this unilateral postoperative visual loss and suggest strategies to reduce the incidence of this complication in spinal surgery.

Keywords: anaesthesia; complications, anaemia; complications, blindness; complications, hypotension; complications, intraocular pressure; complications, ischaemic optic neuropathy; complications, postoperative visual loss; position, prone; surgery, spinal.
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