Alert for perioperative visual loss: an unusual presentation of an orbital haemangioma during spinal surgery.
A 62-year-old man with a history of non-insulin-dependent diabetes mellitus, hypertension and obesity, presented for elective lumbar laminectomy for spinal canal stenosis. Twenty minutes after placement in the prone position, he developed left orbital proptosis. The surgery was deferred and a subsequent CT scan showed an orbital haemangioma. This case highlights the importance of meticulous attention to eye-care for patients in the prone position.
Greenberg
R
R
Department of Anaesthesia and Pain Medicine, Alfred Hospital, Commercial Road, Melbourne, Vic. 3181.
Tymms
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A
D005094:Exophthalmos / Q000209:etiology*; D006391:Hemangioma / Q000000981:diagnostic imaging*; D006801:Humans; D007429:Intraocular Pressure; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D009918:Orbital Neoplasms / Q000000981:diagnostic imaging*; D016684:Prone Position; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology*