Evaluation of the Effects of Lumbar Spine Surgery on the Eye (An Exploratory Study in Iraqi Patients)

Abstract

Background: Perioperative vision loss (POVL) linked with spinal surgery is an uncommon and severe consequence that often has no cure and has no known cause. Multiple investigations have established a direct connection between prone spine surgery and eyesight loss. Objective: This paper is interested to Evaluate of the effects of lumbar spine surgery on the eye (an exploratory study in Iraqi patients). Patients and methods: This study as show as a cross-sectional study that focuses on the evaluation of the effects of lumbar spine surgery on the eye (an exploratory study in Iraqi patients with five patients’ cases. This paper is interested to conduct examinations and evaluations of all data tests before and after operation conduction to patients within ages above 55 even 65 years in different hospitals in Iraq into 16th May 2021 to 26th June 2022. Also, this paper was conducting a statistical study on data examination by the SPSS program. Results and discussion: This study found that Age, Sex, Greater Estimated Blood Loss, and Obesity factors had a big impact on after lumbar spine surgery. As well as this study showed that VAS scoring assessments were found VAS scoring after the operation shown higher and more perfect than VAS scoring before the operation. In the evaluation of the type of anaesthesia between propofol and fentanyl were noticed that propofol is more suitable and a little perfect in using of lumbar spine surgery. In the impact of Surgical effects on the eye were resulted in Painless vision with 2 of 5 patients’ cases. The outcomes of the study found the Comorbidities of lumbar spine patients had Kidney failure and Type 2 diabetes high acquiring in the patients within before and preoperative. This study was noticed the lumbar spine surgery have influenced on the eye’s vision. Clearly, which all types of anaesthesia which are propofol and fentanyl, but propofol found succussed with a little score in compare with fentanyl. Conclusion: With five patient cases in a cross-sectional analysis, this investigation anticipated the results predicted on the evaluation of the impact of surgery on the lumbar spine upon the vision (an exploratory investigation in Iraqi patients). This study found that following degenerative lumbar surgery, it is not expected that responders and those who did not respond will have the same results at the one-year review. Patients with disc herniation, spinal canal narrowing, and degenerative disc conditions have had surgery in this fashion