• Ophthalmology · Jul 2003

    Case Reports

    Bilateral posterior ischemic optic neuropathy after lumbar spine surgery.

    • Marjorie A Murphy.
    • Department of Ophthalmology, APC 7, Rhode Island Hospital, Brown Medical School, 593 Eddy Street, Providence, RI 02903, USA.
    • Ophthalmology. 2003 Jul 1;110(7):1454-7.

    PurposeTo report a case of bilateral posterior ischemic optic neuropathy (PION) in a healthy young patient after lumbar spine surgery which was initially diagnosed as functional visual loss.DesignObservational case report.ParticipantA 33-year-old woman who experienced visual loss in the immediate postoperative period after a lumbar spine fusion.TestingSerial visual field testing and fundus examinations, ERG.ResultsBilateral PION was confirmed 2 months postoperatively with the development of bilateral optic disc pallor and a normal ERG.ConclusionYoung patients without vascular risk factors may develop bilateral PION after otherwise uncomplicated lumbar spine surgery. In subjects complaining of visual loss in the postoperative period who have a normal fundus and normal neuroimaging, a diagnosis of PION should be suspected, and close follow-up is warranted.

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