Iatrogenic Central Retinal Artery Occlusion Following Retrobulbar Anesthesia for Intraocular Surgery
Korean Journal of Ophthalmology
;
: 233-240, 2015.
Article
in English
| WPRIM
| ID: wpr-89403
ABSTRACT
PURPOSE:
To present clinical features of central retinal artery occlusion (CRAO) following retrobulbar anesthesia for intraocular surgery.METHODS:
This observational case series describes 5 consecutive patients with acute CRAO following retrobulbar anesthesia for intraocular surgery. Data collected for this study included subject characteristics, retrobulbar anesthesia technique, treatment type, initial and final best-corrected visual acuity, and other ophthalmologic examinations.RESULTS:
Mean subject age was 67.0 +/- 8.2 years (range, 53 to 72 years). All patients had one or more vascular risk factors (e.g., hypertension, cerebral infarction, carotid artery stenosis) and presented with acute vision loss 1 day after uneventful intraocular surgery (cataract surgery in 2 eyes and vitrectomy in 3 eyes). All 5 patients received retrobulbar anesthesia during surgery, 4 of which involved the use of a sharp needle. No immediate complications were noted during intraocular surgery. Final visual prognosis was poor (from finger count to no light perception) although intraocular thrombolysis was attempted in 3 patients.CONCLUSIONS:
Iatrogenic CRAO is a potential complication of retrobulbar anesthesia for intraocular surgery in elderly patients with vascular risk factors. Unfortunately, this complication can lead to severe vision loss. We conclude that retrobulbar anesthesia for intraocular surgery should be performed with great care and special consideration for elderly patients with vascular risk factors.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orbit
/
Postoperative Complications
/
Ophthalmologic Surgical Procedures
/
Fluorescein Angiography
/
Retinal Artery Occlusion
/
Visual Acuity
/
Retrospective Studies
/
Follow-Up Studies
/
Fundus Oculi
/
Iatrogenic Disease
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Aged
/
Female
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Ophthalmology
Year:
2015
Type:
Article
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