title: Temporary bilateral blindness after acute lidocaine toxicity.
abstract: This case report describes an uncommon complication (blindness) occurring after an inadvertent overdosage of a frequently used local anesthetic (lidocaine) during a regional anesthetic procedure. The discussion focuses on the suspected pathophysiology of the blindness.
authors.affiliation: Department of Anesthesia, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada. rjsawyer1@hotmail.com
authors.forename: R J
authors.initials: RJ
authors.lastname: Sawyer
authors.forename: H
authors.initials: H
authors.lastname: von Schroeder
mesh_terms: D000208:Acute Disease; D000328:Adult; D000779:Anesthetics, Local / Q000009:adverse effects*; D001766:Blindness / Q000139:chemically induced* / Q000000981:diagnostic imaging; D005260:Female; D050723:Fractures, Bone; D018757:GABA Modulators / Q000627:therapeutic use; D006230:Hand Injuries / Q000601:surgery; D006801:Humans; D008012:Lidocaine / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008874:Midazolam / Q000627:therapeutic use; D016343:Monitoring, Intraoperative; D011859:Radiography; D012640:Seizures / Q000139:chemically induced
chemical_list: D000779:Anesthetics, Local; D018757:GABA Modulators; D008012:Lidocaine; D008874:Midazolam