Mohammadpour Mehrdad, Riazi-Esfahani Hamid
Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
J Curr Ophthalmol. 2017 Sep 20;30(2):174-176. doi: 10.1016/j.joco.2017.08.005. eCollection 2018 Jun.
To report a case of transient visual loss following uncomplicated cataract surgery with unpreserved intracameral lidocaine.
A 61-year-old woman with nuclear sclerosis cataract underwent uncomplicated phacoemulsification and in-the-bag intraocular lens (IOL) implantation.
After opening the eye patch on the first postoperative day, the patient complained of complete blindness. Her vision was no light perception (NLP) and the Marcus-Gunn was found to be 4+. Eight hours later, the patient's visual acuity improved to count fingers at 1 m. After two days, the vision improved surprisingly to 20/20 without any Marcus-Gunn. After 4 weeks, the vision decreased surprisingly to 20/80 without any Marcus-Gunn. On this day, macular optical coherence tomography (OCT) was performed, and cystoid macular edema was detected.
Transient visual loss after intracameral lidocaine has been reported after violation of posterior capsule during cataract surgery, and here, we report a case of transient visual loss despite uncomplicated cataract surgery.
报告一例在使用未保存的前房内利多卡因进行单纯白内障手术后出现短暂视力丧失的病例。
一名患有核性硬化性白内障的61岁女性接受了单纯的超声乳化白内障吸除术和囊袋内人工晶状体（IOL）植入术。
术后第一天打开眼罩后，患者主诉完全失明。其视力为无光感（NLP），且发现Marcus-Gunn征为4+。八小时后，患者视力提高到能在1米处数指。两天后，视力惊人地恢复到20/20，且无任何Marcus-Gunn征。四周后，视力惊人地下降到20/80，且无任何Marcus-Gunn征。在这一天，进行了黄斑光学相干断层扫描（OCT），检测到黄斑囊样水肿。
白内障手术期间后囊膜破裂后曾有前房内利多卡因导致短暂视力丧失的报道，在此，我们报告一例尽管白内障手术过程顺利但仍出现短暂视力丧失的病例。
