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Abstract：
Visual loss after spine surgery in the prone position is a disastrous postoperative complication because it is almost irreversible. Additionally, the optimal treatments and recommended professional guidelines for visual loss after spine surgery are deficient. A 43-year-old man developed visual loss after spine surgery in the prone position. Immediate ophthalmic consultation confirmed central retinal artery occlusion. Therefore, combined therapies were administered, including neurotrophy, anticoagulation, vasodilation, and adequate fluid infusion, followed by hyperbaric oxygen treatment. After active treatment, his visual acuity gradually recovered from 5 hours postoperatively and continued to improve thereafter. We reviewed the literature on postoperative visual loss with a focus on spine surgery in the prone position. Because the etiology of this complication is complex and has few effective treatments, the best method for its avoidance is to pay close attention to preventing it during surgery.
摘要：
俯卧位脊柱手术后的视力丧失是灾难性的术后并发症，因为它几乎是不可逆转的。此外,脊柱手术后视力丧失的最佳治疗方法和推荐的专业指南不足.一名43岁的男子在俯卧位进行脊柱手术后出现视力丧失。立即眼科咨询证实视网膜中央动脉阻塞。因此,进行联合治疗，包括神经肥大,抗凝,血管舒张,和充足的液体输注，其次是高压氧治疗。积极治疗后,术后5小时视力逐渐恢复，此后继续改善。我们回顾了有关术后视力丧失的文献，重点是俯卧位脊柱手术。由于这种并发症的病因复杂，有效的治疗方法很少，避免它的最佳方法是在手术期间密切注意预防。
