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[球后注射所致直接视神经和视网膜损伤]

[Direct optic nerve and retinal injury caused by retrobulbar injections].

作者信息

Meythaler F H, Naumann G O

出版信息

Klin Monbl Augenheilkd. 1987 Mar;190(3):201-4. doi: 10.1055/s-2008-1050358.

DOI:10.1055/s-2008-1050358
PMID:3586542
Abstract

The authors report on 2 patients with direct damage to the optic nerve and retina: In a 25-year-old deaf-mute patient a peripheral iridectomy was performed after lid and retrobulbar anesthesia. The amaurosis noticed immediately after surgery was caused by direct injury to the optic nerve. A 69-year-old patient with high myopia was treated with retrobulbar steroid injections. The globe was perforated and a series of 4 retinal defects from the periphery to close to the optic nerve head were created. An unhealed retinal detachment developed. The importance of informing the patient preoperatively about these extremely rare complications of retrobulbar injections is emphasized.

摘要

作者报告了2例视神经和视网膜直接受损的患者:一名25岁的聋哑患者在眼睑和球后麻醉后接受了周边虹膜切除术。术后立即出现的黑矇是由视神经直接损伤所致。一名69岁的高度近视患者接受了球后类固醇注射治疗。眼球被穿孔,形成了一系列从周边到接近视神经乳头的4处视网膜缺损。出现了未愈合的视网膜脱离。强调了术前告知患者球后注射这些极其罕见并发症的重要性。

相似文献

1
[Direct optic nerve and retinal injury caused by retrobulbar injections].[球后注射所致直接视神经和视网膜损伤]
Klin Monbl Augenheilkd. 1987 Mar;190(3):201-4. doi: 10.1055/s-2008-1050358.
2
Blindness following retrobulbar anesthesia for astigmatic keratotomy.散光性角膜切开术球后麻醉后失明。
Ophthalmic Surg. 1989 Jun;20(6):433-5.
3
Blindness from retrobulbar injection into the optic nerve.球后注射至视神经导致的失明。
Ophthalmic Surg. 1986 Jun;17(6):334-7.
4
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.
5
Retinal detachment secondary to ocular perforation during retrobulbar anaesthesia.球后麻醉期间因眼球穿孔继发的视网膜脱离
Indian J Ophthalmol. 1995 Mar;43(1):13-5.
6
Blindness following paranasal sinus surgery: a report of two cases.
Bull Soc Belge Ophtalmol. 1992;245:81-4.
7
[Acute ischemia of the optic nerve after retrobulbar injection].球后注射后视神经急性缺血
J Fr Ophtalmol. 1986;9(6-7):431-3.
8
Ipsilateral globe penetration and transient contralateral amaurosis following retrobulbar anesthesia.球后麻醉后同侧眼球穿通伤和对侧短暂性黑矇
Am J Ophthalmol. 2003 Feb;135(2):251-2. doi: 10.1016/s0002-9394(02)01943-8.
9
[Management of unilateral traumatic bulb luxation with disruption of the optic nerve].[单侧外伤性眼球脱位伴视神经损伤的处理]
HNO. 2003 Feb;51(2):146-50. doi: 10.1007/s00106-002-0646-4.
10
Severe visual disturbance after exposure of the optic canal during intranasal ethmosphenoidectomy.鼻内筛蝶窦切除术中视神经管暴露后出现严重视觉障碍。
Rhinology. 1986 Sep;24(3):211-7.

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1
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Indian J Ophthalmol. 2018 Aug;66(8):1136-1140. doi: 10.4103/ijo.IJO_289_18.
2
A comparison of topical or retrobulbar anesthesia for 23-gauge posterior vitrectomy.23G玻璃体后段切除术局部麻醉与球后麻醉的比较
J Ophthalmol. 2014;2014:237028. doi: 10.1155/2014/237028. Epub 2014 Nov 18.
3
Comparing the preventive effect of 2 percent topical lidocaine and intravenous atropine on oculocardiac reflex in ophthalmological surgeries under general anesthesia.
比较2% topical利多卡因和静脉注射阿托品对全身麻醉下眼科手术中眼心反射的预防效果。 (注:topical可能是“局部用的”意思,这里因原文未明确完整含义暂保留英文表述)
Int J Prev Med. 2013 Nov;4(11):1258-65.
4
Adjunctive Local Application of Lidocaine during Scleral Buckling under General Anesthesia.全身麻醉下巩膜扣带术中利多卡因的辅助局部应用
J Ophthalmic Vis Res. 2011 Jul;6(3):177-82.
5
[Local anesthesia in ophthalmic surgery].[眼科手术中的局部麻醉]
Ophthalmologe. 2004 Aug;101(8):847-64; quiz 865. doi: 10.1007/s00347-004-1080-7.
6
Why retrobulbar anesthesia?为什么选择球后麻醉?
Trans Am Ophthalmol Soc. 1990;88:136-40; discussion 140-7.