Lamichhane G, Gautam P
Nepal J Ophthalmol. 2013 Jul-Dec;5(2):281-3. doi: 10.3126/nepjoph.v5i2.8746.
While peribulbar anesthesia is generally safe, a remote risk of retinal vascular accident exists and its routine use should be done with caution.
To report a case of central retinal artery occlusion (CRAO) that occurred within 24 hours of routine uneventful phacoemulsification cataract surgery using peribulbar anesthesia. We share our experience of a 45-year old man who underwent uneventful clear corneal temporal incision phacoemulsification cataract surgery using peribulbar lignocain injection with adrenaline.
A Patient who underwent routine phacoemulsification surgery of left eye for posterior sub-capsular cataract under peribulbar anesthesia developed central retinal artery occlusion in the immediate post-operative period. The surgery was uneventful.
Central retinal artery occlusion is a rare but dreadful complication seen after uneventful phacoemulsification and the cause is mainly due to anesthesia related.
虽然球周麻醉一般是安全的，但存在视网膜血管意外的远期风险，其常规使用应谨慎。
报告1例在使用球周麻醉进行常规的、无并发症的超声乳化白内障手术24小时内发生中央视网膜动脉阻塞（CRAO）的病例。我们分享1例45岁男性患者的经验，该患者使用含肾上腺素的利多卡因球周注射，通过颞侧透明角膜切口进行了无并发症的超声乳化白内障手术。
1例患者在球周麻醉下接受了左眼后囊下白内障的常规超声乳化手术，术后即刻发生中央视网膜动脉阻塞。手术过程顺利。
中央视网膜动脉阻塞是超声乳化术后罕见但严重的并发症，其原因主要与麻醉相关。
Zotero 插件