title: Central retinal artery occlusion after a local anesthetic with adrenaline on nasal mucosa.
abstract: The purpose of this article is to describe a 75-year-old patient with an acute central retinal artery occlusion after a local anesthetic with adrenaline on nasal mucosa. The local anesthetic was used in removing Jackson tubes from the left lacrimal canal. Occlusion of the central retinal artery related to nasal operations is a rare complication. In previous reports, retinal artery occlusions have been noted in connection with nasal submucosal injections of anesthetic and epinephrine. In our case, the use of anesthetic and adrenaline was superficial.
authors.affiliation: Department of Ophthalmology, University Hospital of Kuopio, Finland.
authors.forename: T H
authors.initials: TH
authors.lastname: Maaranen
authors.forename: M I
authors.initials: MI
authors.lastname: Mäntyjärvi
mesh_terms: D000208:Acute Disease; D000368:Aged; D000779:Anesthetics, Local / Q000009:adverse effects*; D001766:Blindness / Q000139:chemically induced; D004338:Drug Combinations; D004837:Epinephrine / Q000009:adverse effects*; D006801:Humans; D007765:Lacrimal Apparatus / Q000601:surgery; D008012:Lidocaine / Q000009:adverse effects; D008297:Male; D009297:Nasal Mucosa / Q000187:drug effects*; D009301:Nasolacrimal Duct / Q000601:surgery; D015356:Retinal Artery Occlusion / Q000139:chemically induced*; D014662:Vasoconstrictor Agents / Q000009:adverse effects*; D014792:Visual Acuity / Q000187:drug effects
chemical_list: D000779:Anesthetics, Local; D004338:Drug Combinations; D014662:Vasoconstrictor Agents; D008012:Lidocaine; D004837:Epinephrine