Postoperative Visual Loss


  1. Kutteruf, R.E., Stephens, L., Posner, K.L., Domino, K.B., Wells, D., Lee, L.: Injury and liability associated with spine surgery. Anesthesiology, A2159, 2015.  |  Subjects: Hemorrhage, Postoperative Visual Loss, Professional Liability Related, General Anesthesia, Eye Injury, Nerve Injury, Quality of Care  |  PDF icon click here for pdf.pdf
  2. Lee L, Posner KL, Domino KB: Trends in Injuries to the Visual Pathways and Medicolegal Payments from the Closed Claims Program Database. Anesthesiology, A2058, 2013  |  Subjects: Postoperative Visual Loss, Eye Injury  |  PDF icon Click here for.pdf
  3. Lee LA, Posner KL, Bruchas R, Roth S, Domino KB: Visual loss after prostatectomy. Proceedings of the 2010 Annual Meeting of the American Society of Anesthesiologists: A1132, 2010.  |  Subjects: Postoperative Visual Loss  |  PDF icon Click here for .pdf
  4. Posner KL, The POVL Study Group: A national sample of variation in blood pressure and anemia severity in spinal fusion surgery. Anesthesiology 111:A1013, 2009.  |  Subjects: Postoperative Visual Loss  |  PDF icon Click here for .pdf
  5. Lee LA, Roth S, Posner, KL, Cheney, FW, Domino, KB: An Analysis of 71 Spine Cases with Ischemic Optic Neuropathy from the ASA Postoperative Visual Loss Registry. Anesthesiology 103: A1, 2005.  |  Subjects: Postoperative Visual Loss  |  PDF icon Click here for .pdf
  6. Uppal M, Posner K, Roth S: Visual Loss Complicating Surgery: Review of 21 Cases. Anesthesiology 93: A1136, 2000.  |  Subjects: Postoperative Visual Loss  |  PDF icon uppalposnerroth_povl_A1136.pdf


Journal Article

  1. The Postoperative Visual Loss Study Group. Risk Factors Associated with Ischemic Optic Neuropathy after Spinal Fusion Surgery. Anesthesiology. 2012 Jan;116(1):15-24.  |  NLM PubMed Link  |  Subjects: Postoperative Visual Loss
    This case control study assessed potential ION risk factors comparing 80 cases from the ASA Postoperative Visual Loss Registry to 315 controls from 17 institutions throughout the US. Obesity, male sex, Wilson frame use, longer anesthetic duration, greater estimated blood loss, and decreased percent colloid administration were significantly and independently associated with ION after spinal fusion surgery.
  2. Lee LA, Roth S, Posner KL, Cheney FW, Caplan RA, Newman NJ, Domino KB. The American Society of Anesthesiologists Postoperative Visual Loss Registry: Analysis of 93 Spine Surgery Cases with Postoperative Visual Loss. Anesthesiology, 105(4):652-659, 2006.  |  NLM PubMed Link  |  Subjects: Postoperative Visual Loss
    This report described clinical characteristics associated with postoperative visual loss after spine surgery using data from the ASA Postoperative Visual Loss Registry. Ischemic optic neuropathy was associated with 83 cases and central retinal artery occlusion with 10. Ischemic optic neuropathy cases had a higher anesthetic duration, blood loss,and percentage of patients with bilateral disease compared with central retinal artery occlusion cases. Ischemic optic neuropathy occurred in patients with their heads suspended in the air with Mayfield pins demonstrating that it occurs in the absence of pressure on the globe. None of the cases of central retinal artery occlusion occurred using Mayfield pins.

Closed Claims Bibliography

To access a complete bibliography of peer-reviewed journal articles from the Closed Claims Program, click here; Closed Claims Program Bibliography . You may also request delivery of the bibliography via e-mail, fax or postal mail.

Note to Patients

These studies are primarily designed to aid physicians in improving their clinical practice. We are sorry we cannot address individual patient questions or give medical or legal advice or provide data analysis.