Postoperative Glaucoma Decompensation Following Spine Surgery: The Importance of Proper Patient Positioning.

Autor:	Cherubin TM; Department of Neurosurgery, Clinique Ngaliema, Kinshasa, COD., Jeff N; Department of Neurosurgery, Clinique Ngaliema, Kinshasa, COD., Goert M; Department of Neurosurgery, Centre Hospitalier Initiative Plus, Kinshasa, COD., Guelord M; Department of Neurosurgery, Centre Hj Hospitals, Kinshasa, COD., Maoneo I; Department of Neurosurgery, Université de Kinshasa, Kinshasa, COD., Mukuetala P; Department of Neurosurgery, Université de Kinshasa, Kinshasa, COD., Kisubi M; Department of Neurosurgery, Université de Kinshasa, Kinshasa, COD., Reyes Soto G; Department of Neurosurgical Oncology, Mexico National Cancer Institute, Tlalpan, MEX., Montemurro N; Department of Neurosurgery, Azienda Ospedaliero Universitaria Pisana (AOUP), Pisa, ITA., Ramirez MJE; Department of Neurosurgery, Instituto Nacional de Cancerología (INCAN), Mexico City, MEX.; Department of Digital Anatomy, United Nations Educational, Scientific and Cultural Organization (UNESCO), Paris, FRA.; Department of Neurological Surgery, Peoples Friendship University of Russia, Moscow, RUS.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Nov 13; Vol. 16 (11), pp. e73603. Date of Electronic Publication: 2024 Nov 13 (Print Publication: 2024).
DOI:	10.7759/cureus.73603
Abstrakt:	Transforaminal lumbar interbody fusion (TLIF) is a widely utilized surgical procedure for the treatment of degenerative lumbar spinal conditions, including lumbar disc herniations, spinal stenosis, and spondylolisthesis. One such rare and underreported complication is vision loss following spinal surgery. Postoperative vision loss (POVL) is an extremely uncommon complication, occurring in approximately 0.002% to 0.2% of all non-ocular surgeries, including spinal procedures. We presented a 70-year-old male with complaints of left-sided cruralgia, lumbar radicular pain (sciatica-type L5), and right-sided weakness who underwent L4-S1 TLIF and who reported complete vision loss in his left eye, accompanied by persistent tearing from the affected eye whenever he attempted to focus his vision. The patient's vision in the left eye, which had been stable and functional prior to surgery, was permanently affected by the intraoperative complication. At the three-month follow-up, ophthalmological assessments confirmed that the optic nerve damage was irreversible, and the patient's vision in the left eye remained completely blurred. Postoperative vision loss (POVL) is a rare but devastating complication associated with various types of surgeries, including spinal procedures like transforaminal lumbar interbody fusion (TLIF). The present case of a 70-year-old patient developing permanent vision loss in his left eye due to glaucoma decompensation after TLIF underscores the importance of proper intraoperative positioning, especially in patients with pre-existing ocular conditions. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Cherubin et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu