Optic disc pit maculopathy after prone positioning spine surgery



To report a case of optic disc pit maculopathy after spine surgery performed in the prone position.


Case report.


A 32-year-old man underwent spine surgery for disc herniation repair. He complained of visual acuity loss immediately after the procedure. Optic disc maculopathy with internal limiting membrane detachment was found to be the cause. Vitrectomy was scheduled after a 12-month follow-up without resolution of the maculopathy.


Optic disc maculopathy has not previously been associated with nonocular surgery or patient positioning. Physiologic changes induced by the prone position likely altered the pressure gradient in the eye and led to the development of the maculopathy.

Eur J Ophthalmol 2017; 27(5): e144 - e146

Article Type: CASE REPORT



Marcos Ruiz-Sánchez, Maria E. Rodríguez-González-Herrero, Jenifer Ruiz-Sará

Article History


Financial support: No financial support was received for this submission.
Conflict of interest: None of the authors has conflict of interest with this submission.

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  • Ophthalmology Department, Virgen de la Arrixaca Clinical University Hospital, Murcia - Spain

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