Open Access 01-12-2022 | Tympanotomy | Case report
Iatrogenic central retinal artery occlusion following retrobulbar anesthesia with adrenaline for vitreoretinal surgery: a case report
Published in: Journal of Medical Case Reports | Issue 1/2022
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Background
We describe a patient presenting with central retinal artery occlusion (CRAO) of the right eye after retrobulbar anesthesia with adrenaline for macular pucker surgery.
Case presentation
The patient, a 67-year-old Caucasian man, developed a CRAO postoperatively by the next-day control likely due to the retrobulbar injection of a combination of Xylocaine and Bupivacaine with adrenaline as anesthetic.
Conclusions
The addition of adrenaline to the standard anesthetic solution could be a risk factor for serious complications, such as CRAO.