A Case of Severe Neurological Damage and Blindness after Infection of Lidocaine for Cataract Operation
Journal of the Korean Ophthalmological Society
;
: 1897-1902, 1998.
Article
in Korean
| WPRIM
| ID: wpr-27607
ABSTRACT
At the present time, lidocaine is commonly used in ophthalmic surgery as a local anesthetic. Although it is safer than general anesthesia, visionthreatening and even life-threatening side effect can occur rarely. We report one case of visual loss combined with severe neurologic damage after local injection of lidocaine. Fifty-year-old male patient underwent phacoemulsification and IOL transscleral implantation with unplanned anterior vitrectomy after Nadbath-Ellis akinesia and retrobulbar anesthesia with lidocaine with 1100,000 epinephrine. After operation, the patient had visual loss, facial palsy, total ophthalmoplegia, severe proptosis and submandibular swelling. There were no evidences of eyeball perforation, retrobulbar hemorrhage, and direct nerve injury. Although the mechanism of nerve injury is not well explainable, we suggest lidocaine toxic reaction. To our knowledge, This is the first reported case in the literature. We report this case with available literature review.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Vitrectomy
/
Cataract
/
Epinephrine
/
Ophthalmoplegia
/
Exophthalmos
/
Blindness
/
Phacoemulsification
/
Retrobulbar Hemorrhage
/
Facial Paralysis
/
Anesthesia
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
1998
Type:
Article
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