{"id":"b962c139-4095-4182-b98c-6ebce40d7431","slug":"right-sided-complete-blindness-post-kyphoscoliosis-correction-surgery-a-case-report","title":"Right-sided complete blindness post-kyphoscoliosis correction surgery – A case report","authors":["Dipen Ariwala","Sandeep Sonone","Chitranshu Shrivastava","Harini Seshadri","Sunil Bhosale"],"abstract":"Background: Visual loss post spine surgery is a rare but serious complication that can occur after elective spine surgeries. Three pathological mechanisms usually cause it: raised intraocular pressure-mediated damage, central retinal artery occlusion, and cortical blindness. Case Description: A 13-year-old male developed permanent vision loss after undergoing prone spinal deformity correction surgery (i.e., D3 vertebra excision and overcorrection of the spinal curve) for spastic paraplegia. He developed a complete loss of vision in the right eye on postoperative day 2, which was later diagnosed as central retinal artery thrombosis. Although the authors padded both eyes when using a horseshoe headrest, they now acknowledge that such cases should routinely employ a 3-pin head holder to make sure that the eyes are entirely free. Conclusion: In this case, the long duration of surgery and intraoperative hypotension likely caused this catastrophic postoperative complication. In the future, an arterial line to avoid hypotension, prophylactically raising the head 20°, and use of the 3-pin head holder should be routinely employed to prevent/limit the risk of intraoperative retinal artery occlusion.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/b962c139-4095-4182-b98c-6ebce40d7431/featured/hero-1781558229989.png","publishDate":"2025-10-31T00:00:00.000Z","doi":"10.25259/SNI_789_2025","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/b962c139-4095-4182-b98c-6ebce40d7431/pdf"}