Ischemic Optic Neuropathy Following General Anesthesia with Prone Position.

Jin, Kyung Hyun; Sohn, Won Sub; Kwark, Hyung Woo

Original Article

Journal of the Korean Ophthalmological Society 1997;38(12):2241-2246.
Published online December 1, 1997.

Ischemic Optic Neuropathy Following General Anesthesia with Prone Position.

Kyung Hyun Jin, Won Sub Sohn, Hyung Woo Kwark

Department of Ophthalmology, College of Medicine, Kyunghee University, Seoul, Korea.

복와위로 전신마취후 발생한 허혈성시신경병증 1 예

진경현(Kyung Hyun Jin),손원섭(Won Sub Sohn),곽형우(Hyung Woo Kwark)

Abstract

Ischemic optic neuropathy may occur in giant cell arteritis, hypertension, diabetes mellitus, atherosclerosis, various hematologic diseases, and rarely after sirgery. We performed tonometer, indirect ophthalmoscopy, fluorescein angiography(FAG), and visual evoked potential(VEP)on a 54-year-old malle who complained visual disturbance(visual acuity: finger count 30cm, OS) after gerneal anesthesia with prone position for ankylosing spondylitis corrective surgery. The aptient was diagnosed as ischemic optic neuropathy, and followed up for 10 months. It is mainly caused by ocular compression during operation and we should keep the patient`s eye uncompressed during prone position surgery.

Key Words: ischemic optic neuropathy;surgery;prone position