Optic disc pit maculopathy after prone positioning spine surgery

PurposeTo report a case of optic disc pit maculopathy after spine surgery performed in the prone position.MethodsCase report.ResultsA 32-year-old man underwent spine surgery for disc herniation repair. He complained of visual acuity loss immediately after the procedure. Optic disc maculopathy with internal limiting membrane detachment was found to be the cause. Vitrectomy was scheduled after a 12-month follow-up without resolution of the maculopathy.ConclusionsOptic disc maculopathy has not previously been associated with nonocular surgery or patient positioning. Physiologic changes induced by the prone position likely altered the pressure gradient in the eye and led to the development of the maculopathy.