Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2022

Open Access 01-12-2022 | Tympanotomy | Case report

Iatrogenic central retinal artery occlusion following retrobulbar anesthesia with adrenaline for vitreoretinal surgery: a case report

Authors: Filippo Confalonieri, Gunn Elin Ladstein, Ingar Stene-Johansen, Goran Petrovski

Published in: Journal of Medical Case Reports | Issue 1/2022

Login to get access

Abstract

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.
Literature
13.
go back to reference Giuffrè G, Vadala M, Manfrè L. Retrobulbar anesthesia complicated by combined central retinal vein and artery occlusion and massive vitreoretinal fibrosis. Retina. 1995;15(5):439–41.CrossRef Giuffrè G, Vadala M, Manfrè L. Retrobulbar anesthesia complicated by combined central retinal vein and artery occlusion and massive vitreoretinal fibrosis. Retina. 1995;15(5):439–41.CrossRef
15.
go back to reference Mieler WF, Bennett SR, Platt LW, Koenig SB. Localized retinal detachment with combined central retinal artery and vein occlusion after retrobulbar anesthesia. Retina. 1990;10(4):278–83.CrossRef Mieler WF, Bennett SR, Platt LW, Koenig SB. Localized retinal detachment with combined central retinal artery and vein occlusion after retrobulbar anesthesia. Retina. 1990;10(4):278–83.CrossRef
17.
go back to reference Maaranen TH, Mäntyjärvi MI. Central retinal artery occlusion after a local anesthetic with adrenaline on nasal mucosa. J Neuroophthalmol. 2000;20(4):234–5.CrossRef Maaranen TH, Mäntyjärvi MI. Central retinal artery occlusion after a local anesthetic with adrenaline on nasal mucosa. J Neuroophthalmol. 2000;20(4):234–5.CrossRef
18.
go back to reference Savino PJ, Burde RM, Mills RP. Visual loss following intranasal anesthetic injection. J Clin Neuroophthalmol. 1990;10(2):140–4.PubMed Savino PJ, Burde RM, Mills RP. Visual loss following intranasal anesthetic injection. J Clin Neuroophthalmol. 1990;10(2):140–4.PubMed
19.
go back to reference De Keyzer K, Tassignon MJ. Case report: acute unilateral loss of visual acuity after a visit to the dentist: an unusual complication after the use of an anesthetic combined with adrenaline. Rev Belge Med Dent (1984). 2004;59(1):30–3. De Keyzer K, Tassignon MJ. Case report: acute unilateral loss of visual acuity after a visit to the dentist: an unusual complication after the use of an anesthetic combined with adrenaline. Rev Belge Med Dent (1984). 2004;59(1):30–3.
21.
go back to reference Rettinger G, Christ P, Meythaler FH. Blindness caused by central artery occlusion following nasal septum correction. HNO. 1990;38(3):105–9.PubMed Rettinger G, Christ P, Meythaler FH. Blindness caused by central artery occlusion following nasal septum correction. HNO. 1990;38(3):105–9.PubMed
26.
go back to reference Midilli R, Palamar M, Akyıldız S, Göde S. Diplopia secondary to septal infiltration anesthesia: two cases. Kulak Burun Bogaz Ihtis Derg. 2010;20(1):48–50.PubMed Midilli R, Palamar M, Akyıldız S, Göde S. Diplopia secondary to septal infiltration anesthesia: two cases. Kulak Burun Bogaz Ihtis Derg. 2010;20(1):48–50.PubMed
34.
go back to reference Roth SE, Magargal LE, Kimmel AS, Augsburger JJ, Morrison DL. Central retinal-artery occlusion in proliferative sickle-cell retinopathy after retrobulbar injection. Ann Ophthalmol. 1988;20(6):221–4.PubMed Roth SE, Magargal LE, Kimmel AS, Augsburger JJ, Morrison DL. Central retinal-artery occlusion in proliferative sickle-cell retinopathy after retrobulbar injection. Ann Ophthalmol. 1988;20(6):221–4.PubMed
35.
go back to reference Cowley M, Campochiaro PA, Newman SA, Fogle JA. Retinal vascular occlusion without retrobulbar or optic nerve sheath hemorrhage after retrobulbar injection of lidocaine. Ophthalmic Surg. 1988;19(12):859–61.PubMed Cowley M, Campochiaro PA, Newman SA, Fogle JA. Retinal vascular occlusion without retrobulbar or optic nerve sheath hemorrhage after retrobulbar injection of lidocaine. Ophthalmic Surg. 1988;19(12):859–61.PubMed
Metadata
Title
Iatrogenic central retinal artery occlusion following retrobulbar anesthesia with adrenaline for vitreoretinal surgery: a case report
Authors
Filippo Confalonieri
Gunn Elin Ladstein
Ingar Stene-Johansen
Goran Petrovski
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2022
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-022-03518-0

Other articles of this Issue 1/2022

Journal of Medical Case Reports 1/2022 Go to the issue