A case of bilateral visual loss after spinal cord surgery

  • Jemal Shifa
  • Worknehe Abebe
  • Negussie Bekele
  • Dereje Habte

Abstract

Visual loss is a rare but potentially devastating postoperative complication of prone spinal surgery with a reported incidence of 0.017 to 0.1 percent. We present a case of post-operative bilateral visual loss in a patient who had a laminectomy in prone position under general anesthesia. A 17-year-old male patient with large syringomyelia extending from C2 – T2 level had a surgical procedure done under general anesthesia (GA) in prone position that lasted four hours.After the surgical procedure, the patient presented to the Ophthalmology Clinic of Princess Marina Hospital, with a complaint of visual loss of the right eye followed by left, of one week duration. The patient never had a visual impairment in the past. Physical examination, fundal examination and CT scan revealed no primary cause for the visual loss. In this patient the absence of any finding in the optic disc and the retina and the normal CT scan, suggests that the most likely diagnosis is posterior ischemic optic neuropathy.The patient was treated with prednisolone tablet daily and showed mild improvement in vision.

The Pan African Medical Journal 2016;23

Author Biographies

Jemal Shifa
Department of Surgery, Faculty of Medicine, University of Botswana, Gaborone, Botswana
Worknehe Abebe
Department of Anesthesiology, Faculty of Medicine, University of Botswana, Gaborone, Botswana
Negussie Bekele
Department of Anesthesiology, Faculty of Medicine, University of Botswana, Gaborone, Botswana
Dereje Habte
Management Sciences for Health, HEAL TB Project, Addis Ababa, Ethiopia
Published
2016-07-10
Section
Articles

Journal Identifiers


eISSN: 1937-8688