• Spine · Nov 2002

    Review Case Reports

    Transient blindness after lumbar epidural steroid injection: a case report and literature review.

    • William F Young.
    • Department of Neurosurgery, Temple University Hospital, Philadelphia, Pennsylvania, USA. Wfymd@aol.com
    • Spine. 2002 Nov 1; 27 (21): E476-7.

    Study DesignA case report of transient blindness after lumbar epidural steroids is presented.ObjectiveTo report the diagnosis and treatment of a case of blindness after administration of lumbar epidural steroids.Summary Of Background DataNine previous cases of blindness after lumbar epidural injection for back pain were identified. Retinal hemorrhages were identified on ophthalmologic examination in all cases.MethodsThe 1-year follow up evaluation of a 39-year-old male who sustained transient blindness after administration of lumbar epidural steroids is reported.ResultsAt 1 year, the patient had significant return of vision, but it did not improve back to baseline.ConclusionsTransient blindness is a rare complication of lumbar epidural injection. The pathophysiology and prevention of this rare entity is reviewed.

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