| Autor: |
Uribe AA; Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Baig MN, Puente EG, Viloria A, Mendel E, Bergese SD |
| Jazyk: |
angličtina |
| Zdroj: |
Neurosurgical focus [Neurosurg Focus] 2012 Aug; Vol. 33 (2), pp. E14. |
| DOI: |
10.3171/2009.8.FOCUS09151 |
| Abstrakt: |
Postoperative visual loss (POVL) after spine surgery performed with the patient prone is a rare but devastating postoperative complication. The incidence and the mechanisms of visual loss after surgery are difficult to determine. The 4 recognized causes of POVL are ischemic optic neuropathy (approximately 89%), central retinal artery occlusion (approximately 11%), cortical infarction, and external ocular injury. There are very limited guidelines or protocols on the perioperative practice for "prone-position" surgeries. However, new devices have been designed to prevent mechanical ocular compression during prone-position spine surgeries. The authors used PubMed to perform a literature search for devices used in prone-position spine surgeries. A total of 7 devices was found; the authors explored these devices' features, advantages, and disadvantages. The cause of POVL seems to be a multifactorial problem with unclear pathophysiological mechanisms. Therefore, ocular compression is a critical factor, and eliminating any obvious compression to the eye with these devices could possibly prevent this devastating perioperative complication. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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