title: Vision loss and partial third nerve palsy following contralateral peribulbar anesthesia.
abstract: We report the case of a 72-year-old woman who experienced transient complete visual loss and a partial third nerve palsy in 1 eye following cataract surgery under local anesthesia in the fellow eye. Symptoms and signs were determined to result from the administration of a peribulbar block, which was presumably associated with ipsilateral transoptic nerve sheath spread. We believe this is the first report of contralateral amaurosis and oculomotor nerve palsy following peribulbar anesthesia.
authors.affiliation: From the Sydney Hospital and Sydney Eye Hospital (Krilis, Goldberg), the Eye Associates (Zeldovich, Goldberg), and the Discipline of Ophthalmology (Garrick, Goldberg), University of Sydney, Syndney NSW, Australia. Electronic address: matthewkrilis@gmail.com.
authors.forename: Matthew
authors.initials: M
authors.lastname: Krilis
authors.affiliation: From the Sydney Hospital and Sydney Eye Hospital (Krilis, Goldberg), the Eye Associates (Zeldovich, Goldberg), and the Discipline of Ophthalmology (Garrick, Goldberg), University of Sydney, Syndney NSW, Australia.
authors.forename: Alina
authors.initials: A
authors.lastname: Zeldovich
authors.affiliation: From the Sydney Hospital and Sydney Eye Hospital (Krilis, Goldberg), the Eye Associates (Zeldovich, Goldberg), and the Discipline of Ophthalmology (Garrick, Goldberg), University of Sydney, Syndney NSW, Australia.
authors.forename: Raymond
authors.initials: R
authors.lastname: Garrick
authors.affiliation: From the Sydney Hospital and Sydney Eye Hospital (Krilis, Goldberg), the Eye Associates (Zeldovich, Goldberg), and the Discipline of Ophthalmology (Garrick, Goldberg), University of Sydney, Syndney NSW, Australia.
authors.forename: Ivan
authors.initials: I
authors.lastname: Goldberg
mesh_terms: D000368:Aged; D000577:Amides / Q000008:administration & dosage; D000772:Anesthesia, Local / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000008:administration & dosage; D001766:Blindness / Q000209:etiology* / Q000503:physiopathology; D002387:Cataract Extraction; D005260:Female; D007839:Functional Laterality; D006801:Humans; D015840:Oculomotor Nerve Diseases / Q000209:etiology* / Q000503:physiopathology; D009915:Orbit; D000077212:Ropivacaine
chemical_list: D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine