Ischemic orbital compartment syndrome after posterior spinal surgery

Study Design. Case report. Objective. To describe a patient with ischemic orbital compartment syndrome after undergoing spinal surgery in a prone position. Summart of Background Data. Ocular complications after nonocular surgery are devastating. The most common etiology is ischemic optic neuropathy. Orbital compartment syndrome with ischemic change is quite rare and urgent management is necessary. Methods. Early diagnosis and surgical intervention was performed for ischemic compartment syndrome after posterior spinal surgery was done. Results. Despite immediate management, the patient remained blind and ptotic 3 months after the injury. Conclusion. Understanding ocular complications after spinal surgery is vital. Although rare, but the most troublesome complication is ischemic orbital compartment syndrome.