Acute visual loss with ophthalmoplegia after spinal surgery: report of a case and review of the literature.

Abstract

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.

• Authors: Bipasha Mukherjee, Mohammad Shahid Alam
• Journal: Indian journal of ophthalmology (Indian J Ophthalmol) Vol. 62 Issue 9 Pg. 963-5 (Sep 2014) ISSN: 1998-3689 [Electronic] India
• PMID: 25370405 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Acute Disease
• Adolescent
• Blindness, Cortical (diagnosis, etiology, physiopathology)
• Cervical Vertebrae (surgery)
• Humans
• Male
• Ophthalmoplegia (diagnosis, etiology, physiopathology)
• Orthopedic Procedures (adverse effects)
• Osteoblastoma (surgery)
• Postoperative Complications
• Spinal Neoplasms (surgery)
• Tomography, X-Ray Computed
• Visual Acuity (physiology)