Meythaler F H, Naumann G O
Klin Monbl Augenheilkd. 1987 Mar;190(3):201-4. doi: 10.1055/s-2008-1050358.
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.
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。