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Impressum
Acute detachment of the retinal pigment epithelium during spine surgery
Gabel A., 1Foerster M. H.
Augenklinik, Klinikum Benjamin Franklin, Freie Universität Berlin, D 12200 Berlin
Introduction: We report on a patient who suffered from an acute
visual loss, central scotoma and impairment of colour vision following
spine surgery.
Methods: Six days after the appearance of a detachment of the retinal
pigment epithelium and loss of visual acuity to 10/200 a fluorescein angiogramm
could be performed.
Results: We found a detachment of the retinal pigment epithelium
with irregular reflexes and late leakage as well as hard exsudates close
to the inferior macular artery. Within 6 weeks all morphological and functional
changes disappeared except for the hard exsudates. Visual acuity recovered
to 20/25. The central scotoma as well as colour vision disturbances vanished
and the light difference sensitivity normalized.
Conclusion: Besides an acute ischemia during the surgical intervention
in general anaesthesia and face down position a stressreaction of the
pigment epithelium with subsequent decompensation can be discussed.