title: Purtscher-like retinopathy: A rare complication of peribulbar anesthesia.
abstract: Purtscher and Purtscher-like retinopathy is a distinctive retinal syndrome characterized by ischemic retinal whitening in a peripapillary pattern. We report a case of Purtscher-like retinopathy in a healthy 64-year-old man after a routine peribulbar anesthetic injection for cataract surgery. Although peribulbar anesthesia is considered to be a safer alternative to retrobulbar anesthesia, it has been associated with unusual but grave complications including central retinal artery occlusion.
authors.affiliation: Department of Vitreo-Retinal, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.
authors.forename: Siddharth
authors.initials: S
authors.lastname: Narendran
authors.affiliation: Department of Vitreo-Retinal, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.
authors.forename: V R
authors.initials: VR
authors.lastname: Saravanan
authors.affiliation: Department of Vitreo-Retinal, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.
authors.forename: Merlyn
authors.initials: M
authors.lastname: Pereira
mesh_terms: D000772:Anesthesia, Local / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects; D002387:Cataract Extraction / Q000009:adverse effects; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012160:Retina / Q000473:pathology*; D012164:Retinal Diseases / Q000175:diagnosis / Q000209:etiology*; D041623:Tomography, Optical Coherence
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine