Posterior Ischemic Optic Neuropathy

Started by wilmington, November 30, 2007, 07:02:27 PM

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wilmington

I have just completed a lengthy, prone position spine surgery at T1 and T5 and pt awoke with total bilateral vision loss due to posterior ischemic optic neuropathy.  Pt female, non-diabetic, no history of blood pressure or pulmonary problems.  Would be interested in discussing this catastrophic rare complication with others who have some knowledge of subject.

frontier

#1
sir,
in my opinion most probably due to profound hypotension intraoperatively due to any reason could have led to decreased blood supply to optic nerve resulting into blindness/now you can only tell about hypotension intraoperatively & blood loss?other factors like pressure on globe(eyeball),compression of pial vessels which is supplied by collaterals of opthalmic artery & embolic phenomena may all be responsible for ischemic changes in optic nerve.regards