Perioperative central retinal artery occlusion after prone posterior cervical spine surgery treated with delayed hyperbaric oxygen therapy: a case report and targeted literature review
Xinyu Tang, Yucheng Hao, Yang Yu, Kun Lin, Xianhui Kang · 2026
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Description
Xinyu Tang and four colleagues report a 2026 case of sudden vision loss after neck spine surgery, treated late with oxygen therapy. Blockage of the central retinal artery is a rare but devastating complication of surgery done face down, where pressure on the eye can cut its blood supply. A 53-year-old man had upper spine fixation in that position.
After surgery he reported blurred sight in the right eye, with a pressure mark over the orbit. Eye checks showed hand-motion vision, a swollen retina, and the classic cherry-red spot of artery blockage. Clot-busting drugs were judged too risky so soon after surgery, and vessel intervention unlikely to help. Oxygen treatment in a pressure chamber began about 52 hours after the complaint, daily for 14 sessions. Vision later recovered to 20/25, though a severe field defect barely improved.
Catalog record
| CREATOR | Xinyu Tang, Yucheng Hao, Yang Yu, Kun Lin, Xianhui Kang |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 34655 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |