• Spine · Jul 2008

    Case Reports

    Ischemic orbital compartment syndrome after posterior spinal surgery.

    • Yi-Hsun Yu, Wen-Jer Chen, Lih-Huei Chen, and Wen-Chien Chen.
    • Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Kweishan, Taoyuan, Taiwan.
    • Spine. 2008 Jul 15;33(16):E569-72.

    Study DesignCase report.ObjectiveTo describe a patient with ischemic orbital compartment syndrome after undergoing spinal surgery in a prone position.Summary Of Background DataOcular complications after nonocular surgery are devastating. The most common etiology is ischemic optic neuropathy. Orbital compartment syndrome with ischemic change is quite rare and urgent management is necessary.MethodsEarly diagnosis and surgical intervention was performed for ischemic compartment syndrome after posterior spinal surgery was done.ResultsDespite immediate management, the patient remained blind and ptotic 3 months after the injury.ConclusionUnderstanding ocular complications after spinal surgery is vital. Although rare, but the most troublesome complication is ischemic orbital compartment syndrome.

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