Perioperative ischemic optic neuropathy (ION) can cause visual loss during spinal surgery. In this issue of Anesthesiology, Rubin et al. employ a large nationwide administrative hospital database to assess trends and risk factors for ION and demonstrate that perioperative ION in spinal fusion is decreasing. In an accompanying Editorial View, Todd discusses why the rate of ION might be on the decline.

  • Rubin et al.: Perioperative Visual Loss in Spine Fusion Surgery: Ischemic Optic Neuropathy in the United States from 1998 to 2012 in the Nationwide Inpatient Sample, p. 457

  • Todd: Good News: But Why Is the Incidence of Postoperative Ischemic Optic Neuropathy Falling?, p. 445