Optic nerve enlargement and central retinal-artery occlusion secondary to retrobulbar anesthesia.
Optic nerve injury after retrobulbar injection of anesthetic agents may damage the optic nerve and vascular supply to the eye. We describe a case of documented orbital optic nerve injury with central artery occlusion after retrobulbar injection before cataract surgery. Early computed tomography documentation of optic nerve injury associated with retrobulbar injection is suggested to allow early consideration of optic nerve sheath decompression.
Hersch
M
M
University of Texas Health Science Center San Antonio.
Baer
G
G
Dieckert
J P
JP
Lambert
H M
HM
Shore
J W
JW
D000368:Aged; D000772:Anesthesia, Local / Q000009:adverse effects*; D002045:Bupivacaine / Q000009:adverse effects; D005143:Eyelids; D006801:Humans; D007267:Injections; D008297:Male; D009900:Optic Nerve / Q000473:pathology; D020221:Optic Nerve Injuries; D015356:Retinal Artery Occlusion / Q000209:etiology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity
D002045:Bupivacaine