Visual Loss in a Prone-Positioned Spine Surgery Patient with the Head on a Foam Headrest and Goggles Covering the Eyes: An Old Complication with a New Mechanism

In Brief A patient developed central retinal artery occlusion during surgery in the prone position with eye protectors placed over his eyes. We discuss the potential hazards of using such a device (the Dupaco Opti-Gard) in this setting. IMPLICATIONS: Eye protectors may be used to protect the eyes from injury in the prone position. However, as illustrated by this case, they can also result in significant eye injury.