Necrosis of the eyelids and sclera after retrobulbar anesthesia.
A 52-year-old man had loss of vision and black discoloration of the lids of the right eye after a retrobulbar injection of 3 mL lidocaine hydrochloride 2% (Xylocaine). Examination of the right eye revealed no light perception with extensive necrosis of the lids. Anterior segment examination revealed conjunctival pallor, corneal edema, and necrosis of the sclera. This is a previously unreported complication of retrobulbar anesthesia comprising ophthalmic artery occlusion with scleral melt, ocular ischemia, and eyelid necrosis.
Sharma
Ashok
A
Cornea Clinic, Grewal Eye Institute, Chandigarh, India. asharmapgius@yahoo.com
Gupta
Amit
A
Bandyopadhyay
Supratik
S
Vinekar
Anand S
AS
Ram
Jagat
J
Dogra
Mangat R
MR
Gupta
Amod
A
D000772:Anesthesia, Local / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000008:administration & dosage; D001157:Arterial Occlusive Diseases / Q000209:etiology; D004837:Epinephrine / Q000008:administration & dosage; D005141:Eyelid Diseases / Q000209:etiology*; D005143:Eyelids / Q000098:blood supply / Q000473:pathology*; D006801:Humans; D007267:Injections; D007511:Ischemia / Q000209:etiology; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D009880:Ophthalmic Artery / Q000473:pathology; D009915:Orbit; D012590:Sclera / Q000098:blood supply / Q000473:pathology*; D015422:Scleral Diseases / Q000209:etiology*
D000779:Anesthetics, Local; D008012:Lidocaine; D004837:Epinephrine