Surgery in the prone position risks vision loss due to a number of factors. Craniofacial surgery poses an even greater risk due to the anatomical and physiological makeup of these patients. Here, we describe a novel method of providing protection from direct pressure on the globe during prone positioning for craniofacial procedures and our protocol for improving safety and reducing the risk of postoperative vision loss.
AsokTAzizSFaisalHATanAKMallikaPS. Central retinal artery occlusion and ophthalmoplegia following spinal surgery in the prone position. Med J Malaysia. 2009;64(4):323–324.
2.
EpsteinNE. Perioperative visual loss following prone spinal surgery: a review. Surg Neurol Int. 2016;7(suppl 13):S347.
3.
FukuiKAhmadMMcHughTTempelhoffRChengMA. The effect of head elevation on intraocular pressure in anesthetized patients undergoing prone position spine surgery. J Neurosurg Anesthesiol. 2004;16(4):358.
4.
FukuiKTempelhoffRChengMA. Intraocular pressure during prone position surgery: effects of time and head elevation. J Neurosurg Anesthesiol. 2005;17(4):251.
5.
HuntKBajekalRCalderIMeacherREliahooJAchesonJF. Changes in intraocular pressure in anaesthetised prone patients. J Neurosurg Anaesthesiol. 2004;16(4):287–290.
6.
OzcanMSPraetelCBhattiMTGravensteinNMahlaMESeubertCN. The effect of body inclination during prone positioning on intraocular pressure in awake volunteers—a comparison of 2 operating tables. Anaesth Analg. 2004;99(4):1152–1158.
7.
RothSTungAKsiazekS. Visual loss in a prone-positioned spine surgery patient with the head on a foam headrest and goggles covering the eyes: an old complication with a new mechanism. Anesth Analg. 2007;104(5):1185–1187.
8.
RoumeliotisGCampbellSDasSHildebrandGDIssaPCJayamohanJLawrenceTMagdumSWallSJohnsonD. Central retinal artery occlusion following prone transcranial surgery for craniosynostosis and discussion of risk factors. J Craniofac Surg. 2020;31(6):1597–1601.
van WicklinSA. Systematic review and meta-analysis of prone position on intraocular pressure in adults undergoing Surgery. Int J Spine Surg. 2020;14(2):195–208.
11.
WilliamsEL. Postoperative blindness. Anesthesiol Clin North Am. 2002;20(3):605–622. 1;16(4):358.
