Visual Loss with Ophthalmoplegia after Prone Position Spinal Surgery
Journal of the Korean Ophthalmological Society
; : 712-717, 2019.
Article
in Ko
| WPRIM
| ID: wpr-766873
Responsible library:
WPRO
ABSTRACT
PURPOSE:
We report a case of acute visual loss with ophthalmoplegia after prone position spinal surgery who had blood supply dependence on collateral circulation due to occlusion of the Internal carotid artery. CASESUMMARY:
A 74-year-old man was referred to the department of ophthalmology for acute visual loss and ophthalmoplegia after lumbar spine surgery performed in prone position. On the initial visit, his right visual acuity was 0.8 and the left visual acuity was negative light perception. Intraocular pressure was normal. There was a relative afferent pupillary defect and ophthalmoplegia of all directions in the left eye. Because of the ptosis of the upper eyelid in the left eye, it was impossible to tune the eye voluntarily. The cherry red spot and pale retina were observed on the fundus examination. On brain magnetic resonance imaging angiography, we found complete obstruction of the left internal carotid artery. He had intravenous injection of 1 g methylprednisolone for 3 days, and discharged with per oral medicine. After 1 month of treatment, the ophthalmoplegia was slightly improved, but visual acuity was not recovered.CONCLUSIONS:
In this case, unlike previous reports, acute visual loss and ophthalmoplegia occurred after spinal surgery the patient who had collateral circulation for ocular blood supply because of complete obstruction of the left internal carotid artery. This report highlights the importance of being aware of the anatomical variant in possible complications of external ocular compression after non-ocular surgery.Key words
Full text:
1
Index:
WPRIM
Main subject:
Ophthalmology
/
Retina
/
Spine
/
Brain
/
Methylprednisolone
/
Magnetic Resonance Imaging
/
Angiography
/
Retinal Artery Occlusion
/
Carotid Artery, Internal
/
Visual Acuity
Limits:
Aged
/
Humans
Language:
Ko
Journal:
Journal of the Korean Ophthalmological Society
Year:
2019
Type:
Article