An optic nerve at risk and a prolonged surgery in the prone position: time to reconsider?

@article{Tempelhoff2008AnON,
  title={An optic nerve at risk and a prolonged surgery in the prone position: time to reconsider?},
  author={Ren{\'e} Tempelhoff},
  journal={Anesthesiology},
  year={2008},
  volume={108 5},
  pages={775-6}
}
PATIENTS who undergo prolonged, complex spinal surgery in the prone position may have a one in a thousand chance of developing some vision loss in the postoperative period. This morbidity typically manifests as permanent blindness that can be partial or total and is usually bilateral. Although rare, cases with incomplete recovery have been described, but vision never returns to the preoperative level. While most agree that anesthesia is extremely safe, it is not well understood in either the… CONTINUE READING

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