Central retinal artery occlusion and ophthalmoplegia following spinal surgery in the prone position

T Asok, S Aziz, H.A. Faisal , A.K. Tan, P.S. Mallika

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)

Abstract

A 14 Year old boy underwent a 7 hour long spinal surgery for scoliosis in the prone position. In the immediate postoperative period, he developed right proptosis, periorbital swelling, chemosis and total ophthalmoplegia. The vision in his right eye was only counting fingers and the intraocular pressure was 68 mmHg. Fundus examination revealed occlusion of the right central retinal artery. A rare manifestation of both vein and artery occlusion was possible in this patient as a result of external ocular compression due to a prolonged period in the prone position. This report highlights the importance of being aware of the possible
complications of external ocular compression in non-ocular surgery.
Original languageEnglish
Pages (from-to)323-324
Number of pages2
JournalMedical Journal of Malaysia
Volume64
Issue number4
Publication statusPublished - Dec 2009
Externally publishedYes

Keywords

  • Visual loss
  • Central retinal artery occlusion
  • Ophthalmoplegia
  • Spinal surgery
  • Prone position

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