Posterior ischemic optic neuropathy after minimally invasive prostatectomy

J Neuroophthalmol. 2007 Dec;27(4):285-7. doi: 10.1097/WNO.0b013e31815b9f67.


Two patients developed postoperative ischemic optic neuropathy (ION) after laparoscopic radical prostatectomy. One operation was robotically assisted; the other was performed with the conventional laparoscopic technique. These new minimally invasive techniques offer many advantages, but they require steep supine head-flexed (Trendelenburg) positioning. Until they are mastered by surgeons, operative times may be prolonged beyond those associated with the traditional technique. As a result, ION may occur more frequently.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Male
  • Middle Aged
  • Optic Neuropathy, Ischemic / etiology*
  • Optic Neuropathy, Ischemic / pathology
  • Postoperative Complications*
  • Prostatectomy / adverse effects*
  • Prostatic Neoplasms / surgery