• Samaj Gautam, Suzit Bhusal, Ashlesha Chaudhary, Reshika Shrestha, Badri Rijal, Prakash Darjee, and Surya Bajra Lama.
• Department of Orthopedics and Trauma Surgery, National Trauma Center, National Academy of Medical Sciences,Kathmandu, Nepal.
• JNMA J Nepal Med Assoc. 2024 Apr 30; 62 (273): 339342339-342.

AbstractVisual loss following a spine surgery in a prone position is a disastrous and irreversible complication. Moreover, the recommended treatment for such visual loss is lacking and the outcome is not so satisfactory. A 38-year-old gentleman developed profound right sided visual loss after an uneventful cervical spine surgery in a prone position that lasted approximately two and half hours. Immediate ophthalmic consultation was done and the case was diagnosed as right-sided central retinal artery occlusion. Despite the initiation of vasodilatation, anticoagulation, and adequate fluid infusion, satisfactory improvement was not achieved. Extensive review of pertinent literature highlighted limited efficacy of treatments for postoperative visual loss after prone spinal surgery, further emphasizing the importance of preventive measures as the cornerstone in such procedures.

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