Central retinal artery occlusion after peribulbar anesthesia.
We describe the development of central retinal artery occlusion (CRAO) in 2 patients after peribulbar (periconal) anesthesia during uneventful phacoemulsification. Although peribulbar anesthesia avoids direct optic-nerve injury, indirect injury presenting as CRAO may occur from vasospasm in response to the injection.
Vinerovsky
Albert
A
Department of Ophthalmology, Western Galilee-Nahariya Medical Center, 22100 Nahariya, Israel.
Rath
Eitan Z
EZ
Rehany
Uri
U
Rumelt
Shimon
S
D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local / Q000009:adverse effects* / Q000379:methods; D000779:Anesthetics, Local / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage*; D008297:Male; D009407:Nerve Block; D009915:Orbit / Q000187:drug effects*; D018918:Phacoemulsification; D015356:Retinal Artery Occlusion / Q000209:etiology*; D014792:Visual Acuity
D000779:Anesthetics, Local; D008012:Lidocaine