Retinal embolisation with localised retinal detachment following retrobulbar anaesthesia.

Details

Serval ID
serval:BIB_9C58BC9060AD
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Retinal embolisation with localised retinal detachment following retrobulbar anaesthesia.
Journal
Klinische Monatsblätter für Augenheilkunde
Author(s)
Mameletzi E., Pournaras J.A., Ambresin A., Nguyen C.
ISSN
0023-2165
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
225
Number
5
Pages
476-8
Language
english
Abstract
BACKGROUND: The aim of this communication is to describe an unusual and serious complication of retrobulbar anaesthesia for cataract surgery. HISTORY AND SIGNS: A 78-year-old female was referred for visual loss (light perception) 24 hours after apparently uneventful cataract surgery with retrobulbar anaesthesia in her left eye. Fundus examination revealed multiple arterial emboli and a localised retinal detachment. MRI revealed a retrobulbar hypersignal of the optic nerve associated with perineuritis. The cardiovascular examination was normal. We assumed this condition resulted from injection of the anaesthetic mixture into the optic nerve. THERAPY AND OUTCOME: In order to improve retinal circulation and oxygenation, the intraocular pressure was maximally lowered and anticalcic therapy administered, expecting optimal arterial dilatation. Methylprednisolone (1 g/day 3 days i. v., then rapidly tapered) was also added. The retina slowly reattached but visual acuity remained unchanged. CONCLUSIONS: Retrobulbar anaesthesia is routinely used for ocular surgery. Serious complications may still happen, however. This case adds to the previously reported spectrum of complications from retrobulbar anaesthesia.
Keywords
Aged, Anesthetics, Local, Embolism, Female, Humans, Optic Nerve, Retinal Detachment, Retinal Diseases, Retinal Vessels
Pubmed
Web of science
Create date
22/01/2009 14:51
Last modification date
20/08/2019 15:03
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