Gungor Semih, Aiyer Rohit
Division of Pain Medicine, Department of Anesthesiology, Hospital for Special Surgery, Weill Cornell Medical College, NY, USA.
Department of Psychiatry, Hofstra Northwell Health, Staten Island University Hospital, NY, USA.
Pain Manag. 2017 Sep;7(5):377-381. doi: 10.2217/pmt-2017-0005. Epub 2017 Sep 22.
Postoperative acute visual loss due to organic pathology has been described after spinal surgery in the prone position. This report describes a case of transient postoperative blindness in a patient after general anesthesia and surgery in the prone position. Postoperative workup did not reveal any organic pathology. Unbeknown to the treating physicians, the patient had a comorbid untreated psychiatric history. Upon psychiatric consultation, the patient was diagnosed with conversion disorder as a cause of postoperative blindness. There was full recovery of vision after psychiatric intervention within a week.
俯卧位脊柱手术后因器质性病变导致的术后急性视力丧失已有相关报道。本报告描述了一例患者在全身麻醉和俯卧位手术后出现短暂性术后失明的病例。术后检查未发现任何器质性病变。治疗医生并不知晓该患者有未治疗的共病精神病史。经精神科会诊,该患者被诊断为转换障碍,这是术后失明的病因。经精神科干预后,患者在一周内视力完全恢复。