Study design: Case report.
Objective: To describe a patient with ischemic orbital compartment syndrome after undergoing spinal surgery in a prone position.
Summary of background data: Ocular complications after nonocular surgery are devastating. The most common etiology is ischemic optic neuropathy. Orbital compartment syndrome with ischemic change is quite rare and urgent management is necessary.
Methods: Early diagnosis and surgical intervention was performed for ischemic compartment syndrome after posterior spinal surgery was done.
Results: Despite immediate management, the patient remained blind and ptotic 3 months after the injury.
Conclusion: Understanding ocular complications after spinal surgery is vital. Although rare, but the most troublesome complication is ischemic orbital compartment syndrome.