Purtscher-like retinopathy after retrobulbar anesthesia.
A Purtscher-like retinopathy occurred in a 41-year-old woman who underwent the excision of a pterygium after a retrobulbar injection of 3 ml of lidocaine HCl. Visual acuity increased from 20/200 on the first postoperative day to 20/25, 12 weeks later. The exudates and the hemorrhages progressively disappeared. However, a relative, localized, paracentral scotoma and an afferent pupil defect still persist. The pathophysiology of this Purtscher-like retinopathy is discussed.
Lemagne
J M
JM
Department of Ophthalmology, Catholic University of Louvain, Brussels, Belgium.
Michiels
X
X
Van Causenbroeck
S
S
Snyers
B
B
D000772:Anesthesia, Local / Q000009:adverse effects*; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D008012:Lidocaine / Q000009:adverse effects*; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D011625:Pterygium / Q000601:surgery; D011681:Pupil Disorders / Q000209:etiology; D012164:Retinal Diseases / Q000209:etiology*; D012607:Scotoma / Q000209:etiology; D014792:Visual Acuity; D014794:Visual Fields
D008012:Lidocaine