Visual loss following intranasal anesthetic injection.
Four patients had visual loss after nasal surgery. There was one instance each of branch retinal artery occlusion, central retinal artery occlusion, anterior ischemic optic neuropathy, and posterior ischemic optic neuropathy. The postulated mechanism is vasospasm. The submucosal injection, under pressure, of an anesthetic with epinephrine is deemed to be causative.
Savino
P J
PJ
Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania 19107.
Burde
R M
RM
Mills
R P
RP
D000328:Adult; D000779:Anesthetics, Local / Q000009:adverse effects*; D001766:Blindness / Q000139:chemically induced*; D004837:Epinephrine / Q000009:adverse effects; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D007511:Ischemia / Q000209:etiology; D008297:Male; D009296:Nasal Cavity / Q000601:surgery*; D009900:Optic Nerve / Q000098:blood supply; D015356:Retinal Artery Occlusion / Q000139:chemically induced; D013035:Spasm / Q000139:chemically induced; D014792:Visual Acuity; D014794:Visual Fields
D000779:Anesthetics, Local; D004837:Epinephrine