Ischemic orbital compartment syndrome after posterior spinal surgery.
METHODS
Case report.


OBJECTIVE
To describe a patient with ischemic orbital compartment syndrome after undergoing spinal surgery in a prone position.


BACKGROUND
Ocular complications after nonocular surgery are devastating. The most common etiology is ischemic optic neuropathy. Orbital compartment syndrome with ischemic change is quite rare and urgent management is necessary.


METHODS
Early diagnosis and surgical intervention was performed for ischemic compartment syndrome after posterior spinal surgery was done.


RESULTS
Despite immediate management, the patient remained blind and ptotic 3 months after the injury.


CONCLUSIONS
Understanding ocular complications after spinal surgery is vital. Although rare, but the most troublesome complication is ischemic orbital compartment syndrome.
Yu
Yi-Hsun
YH
Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Kweishan, Taoyuan, Taiwan.
Chen
Wen-Jer
WJ
Chen
Lih-Huei
LH
Chen
Wen-Chien
WC
D000368:Aged; D001766:Blindness / Q000175:diagnosis / Q000209:etiology; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology*; D019299:Decompression, Surgical / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery; D008297:Male; D018917:Optic Neuropathy, Ischemic / Q000175:diagnosis / Q000209:etiology*; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D012600:Scoliosis / Q000175:diagnosis / Q000601:surgery