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Case Reports in Orthopedics
Volume 2014, Article ID 850950, 5 pages
http://dx.doi.org/10.1155/2014/850950
Case Report

Postoperative Vision Loss after Reverse Shoulder Arthroplasty

1Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP, UK
2Trauma & Orthopaedic Department, St. Mary’s Hospital, Parkhurst Road, Newport, Isle of Wight PO30 5TG, UK

Received 1 October 2014; Revised 4 December 2014; Accepted 11 December 2014; Published 24 December 2014

Academic Editor: Dimitrios S. Karataglis

Copyright © 2014 Aadil Mumith and John Scadden. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case which highlights the rare but devastating complication of postoperative vision loss (POVL) in orthopaedic surgery. Though documented previously, it has not been reported in shoulder arthroplasty surgery of which we present the first case. The aetiology of POVL is difficult to elucidate due to its elusive nature. We explain the risks associated with regional blocks used for such surgery and how this may be related to POVL. We must be vigilant of the possible causes of POVL as curative treatment is often not possible and hence must take preventative measures which we have recommended. Fortunately, the patient fully recovered at 10 months postoperatively with excellent function of her reverse shoulder arthroplasty.