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球后麻醉后出现局限性视网膜脱离合并视网膜中央动静脉阻塞。

Localized retinal detachment with combined central retinal artery and vein occlusion after retrobulbar anesthesia.

作者信息

Mieler W F, Bennett S R, Platt L W, Koenig S B

机构信息

Eye Institute, Medical College of Wisconsin, Milwaukee.

出版信息

Retina. 1990;10(4):278-83. doi: 10.1097/00006982-199010000-00010.

DOI:10.1097/00006982-199010000-00010
PMID:2089544
Abstract

The authors report a patient who was observed to have a localized retinal detachment with combined central retinal artery and vein occlusion after cataract surgery performed with retrobulbar anesthesia. The authors propose that this condition resulted from injection of the anesthetic mixture into the optic nerve. No acute neurologic symptoms occurred, but visual loss was severe and permanent. This case adds to the previously reported spectrum of complications from retrobulbar anesthesia.

摘要

作者报告了一名患者,该患者在球后麻醉下进行白内障手术后,出现了局限性视网膜脱离合并视网膜中央动静脉阻塞。作者认为这种情况是由于将麻醉混合剂注入视神经所致。患者未出现急性神经症状,但视力丧失严重且为永久性。该病例增加了先前报道的球后麻醉并发症的范围。

相似文献

1
Localized retinal detachment with combined central retinal artery and vein occlusion after retrobulbar anesthesia.球后麻醉后出现局限性视网膜脱离合并视网膜中央动静脉阻塞。
Retina. 1990;10(4):278-83. doi: 10.1097/00006982-199010000-00010.
2
[Combined central retinal vein and artery occlusion after retrobulbar anesthesia--report of two cases].球后麻醉后合并视网膜中央静脉和动脉阻塞——两例报告
Arq Bras Oftalmol. 2005 Mar-Apr;68(2):257-61. doi: 10.1590/s0004-27492005000200020. Epub 2005 May 18.
3
Retrobulbar anesthesia complicated by combined central retinal vein and artery occlusion and massive vitreoretinal fibrosis.球后麻醉并发视网膜中央静脉和动脉联合阻塞及大量玻璃体视网膜纤维化。
Retina. 1995;15(5):439-41. doi: 10.1097/00006982-199515050-00012.
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Transient central retinal artery occlusion and contralateral amaurosis after retrobulbar anesthetic injection.球后麻醉注射后出现短暂性视网膜中央动脉阻塞及对侧黑矇。
Ophthalmic Surg. 1989 Sep;20(9):643-6.
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Retinal Vascular Occlusion Secondary to Retrobulbar Injection: Case Report and Literature Review.球后注射继发视网膜血管阻塞:病例报告及文献综述
Middle East Afr J Ophthalmol. 2017 Jan-Mar;24(1):57-60. doi: 10.4103/meajo.MEAJO_37_16.
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Optic nerve enlargement and central retinal-artery occlusion secondary to retrobulbar anesthesia.球后麻醉继发视神经肿大和视网膜中央动脉阻塞。
Ann Ophthalmol. 1989 May;21(5):195-7.
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Combined Central Retinal Artery and Vein Occlusion From a Presumed Arteriovenous Fistula After Retrobulbar Anesthesia.球后麻醉后疑似动静脉瘘所致的视网膜中央动脉和静脉联合阻塞
JAMA Ophthalmol. 2018 Nov 1;136(11):1307-1309. doi: 10.1001/jamaophthalmol.2018.3224.
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[Combined central retinal artery and vein occlusion secondary to cataract surgery in a patient with persistent hyaloid artery].[白内障手术继发持续性玻璃体动脉致视网膜中央动静脉联合阻塞一例]
Arch Soc Esp Oftalmol. 2014 Apr;89(4):161-4. doi: 10.1016/j.oftal.2012.09.025. Epub 2012 Dec 23.
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Retinal vascular occlusion without retrobulbar or optic nerve sheath hemorrhage after retrobulbar injection of lidocaine.球后注射利多卡因后出现视网膜血管阻塞且无球后或视神经鞘出血
Ophthalmic Surg. 1988 Dec;19(12):859-61.
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Retinal detachment as a complication of retrobulbar anesthesia.视网膜脱离作为球后麻醉的一种并发症。
Can J Ophthalmol. 1991 Feb;26(1):32-3.

引用本文的文献

1
Iatrogenic central retinal artery occlusion following retrobulbar anesthesia with adrenaline for vitreoretinal surgery: a case report.球后麻醉肾上腺素致医源性视网膜中央动脉阻塞:病例报告。
J Med Case Rep. 2022 Aug 9;16(1):303. doi: 10.1186/s13256-022-03518-0.
2
Central retinal artery occlusion on postoperative day one after vitreoretinal surgery.玻璃体视网膜手术后第一天发生视网膜中央动脉阻塞。
Am J Ophthalmol Case Rep. 2018 Oct 5;12:93-96. doi: 10.1016/j.ajoc.2018.10.001. eCollection 2018 Dec.
3
Optical Coherence Tomography Angiography of Combined Central Retinal Artery and Vein Occlusion.
视网膜中央动脉和静脉联合阻塞的光学相干断层扫描血管造影
Case Rep Ophthalmol Med. 2018 Feb 12;2018:4342158. doi: 10.1155/2018/4342158. eCollection 2018.
4
Iatrogenic Central Retinal Artery Occlusion Following Retrobulbar Anesthesia for Intraocular Surgery.眼科手术球后麻醉后发生的医源性视网膜中央动脉阻塞
Korean J Ophthalmol. 2015 Aug;29(4):233-40. doi: 10.3341/kjo.2015.29.4.233. Epub 2015 Jul 21.
5
[Loss of visual acuity after cataract surgery].[白内障手术后视力丧失]
Ophthalmologe. 2014 May;111(5):471-4. doi: 10.1007/s00347-013-2955-2.
6
Ocular explosion during cataract surgery: a clinical, histopathological, experimental, and biophysical study.白内障手术期间的眼球爆炸:一项临床、组织病理学、实验及生物物理学研究。
Trans Am Ophthalmol Soc. 1998;96:243-76; discussion 276-81.
7
Regional anaesthesia for intraocular surgery.眼科手术的区域麻醉
Can J Anaesth. 1993 Jul;40(7):635-57. doi: 10.1007/BF03009701.