Title |
Dilated superior ophthalmic veins and posterior ischemic optic neuropathy after prolonged spine surgery. |
Creator |
Reddy, Ashvini; Rod Foroozan, M.D., Baylor College of Medicine; Edmond, Jane C; Hinckley, Lisa K |
Affiliation |
Department of Ophthalmology, Baylor College of Medicine Houston, Texas, USA. |
Abstract |
A 55-year-old man developed bilateral posterior ischemic optic neuropathy after prolonged prone position lumbar laminectomy. Brain MRI performed 19 hours after the procedure revealed markedly dilated superior ophthalmic veins, a finding that had disappeared on a comparable study performed 5 months later. This first report of dilated superior ophthalmic veins present in the immediate postoperative period but not later may be important in suggesting that an increase in orbital venous pressure during surgery contributes to the development of postoperative posterior ischemic optic neuropathy (PION). |
Subject |
Brain Ischemia; Dilatation, Pathologic; Eye; Humans; Intracranial Hypertension; Laminectomy; Lumbar Vertebrae; Magnetic Resonance Imaging; Male; Middle Older people; Optic Disk; Optic Nerve; Optic Neuropathy, Ischemic; Postoperative Complications; Prone Position; Vasodilation; Veins; Vision, Low |
Format |
application/pdf |
Publication Type |
Journal Article |
Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
Publisher |
Lippincott, Williams & Wilkins |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
© North American Neuro-Ophthalmology Society |
Setname |
ehsl_novel_jno |
ID |
225804 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6zk8ns8/225804 |