Posterior ischemic optic neuropathy after minimally invasive prostatectomy.
Two patients developed postoperative ischemic optic neuropathy (ION) after laparoscopic radical prostatectomy. One operation was robotically assisted; the other was performed with the conventional laparoscopic technique. These new minimally invasive techniques offer many advantages, but they require steep supine head-flexed (Trendelenburg) positioning. Until they are mastered by surgeons, operative times may be prolonged beyond those associated with the traditional technique. As a result, ION may occur more frequently.
Weber
Eric D
ED
Ophthalmology Service, Walter Reed Army Medical Center, Washington, DC, USA.
Colyer
Marcus H
MH
Lesser
Robert L
RL
Subramanian
Prem S
PS
D006801:Humans; D008297:Male; D008875:Middle Aged; D018917:Optic Neuropathy, Ischemic / Q000209:etiology* / Q000473:pathology; D011183:Postoperative Complications; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000601:surgery