Optic Neuropathy after spine surgery

Postoperative Ischemic Optic Neuropathy

Lorri A. Lee, Nancy J. Newman, Ted A. Wagner,Joseph R. Dettori, Nathan J. Dettori

Spine 2010;35:S105–S116

Study Design: Systematic literature review.

Conclusion: Postoperative ION after spinal surgery is a rare event, which may be associated with prone position surgery of more than 5 hours surgical duration and blood loss of more than 1 L. Informing patients of this remote risk should be considered during preoperative counseling.The quality of evidence for preventative measures for postoperative ION after spinal fusion surgery is very low, but it has been proposed that efforts aimed at reducing the duration or severity of venous congestion in the head may be beneficial.