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类Purtscher视网膜病变:球周麻醉的一种罕见并发症。

Purtscher-like retinopathy: A rare complication of peribulbar anesthesia.

作者信息

Narendran Siddharth, Saravanan V R, Pereira Merlyn

机构信息

Department of Vitreo-Retinal, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.

出版信息

Indian J Ophthalmol. 2016 Jun;64(6):464-6. doi: 10.4103/0301-4738.187679.

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.

摘要

普尔夏视网膜病变及类普尔夏视网膜病变是一种独特的视网膜综合征,其特征为视乳头周围缺血性视网膜变白。我们报告一例64岁健康男性在白内障手术行常规球周麻醉注射后发生类普尔夏视网膜病变的病例。尽管球周麻醉被认为是球后麻醉更安全的替代方法,但它也与包括视网膜中央动脉阻塞在内的罕见但严重的并发症相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49e7/4991182/f91ead1bbcaa/IJO-64-464-g001.jpg

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