Javitt J C, Addiego R, Friedberg H L, Libonati M M, Leahy J J
Ophthalmology. 1987 Jun;94(6):718-24. doi: 10.1016/s0161-6420(87)33389-5.
Presented is a series of eight patients in whom neurologic sequelae developed after retrobulbar anesthesia. All patients demonstrated blockade of one or more cranial nerves and six progressed to apnea, requiring intubation and mechanical ventilation. Neurologic findings included amaurosis in the contralateral eye (5 patients), nonreactive pupil in the contralateral eye (6 patients), ductional defects (2 patients), and dysphagia (4 patients). In all cases, these findings resolved in 2 to 12 hours. In patients who progressed to apnea, spontaneous respiration resumed within 30 to 60 minutes. These findings are particularly significant in light of recent decisions to reduce anesthesia coverage for cataract surgery in some regions.
本文报告了8例患者，他们在球后麻醉后出现了神经后遗症。所有患者均表现出一条或多条颅神经阻滞，6例进展为呼吸暂停，需要插管和机械通气。神经学表现包括对侧眼黑矇（5例）、对侧眼瞳孔无反应（6例）、眼球运动障碍（2例）和吞咽困难（4例）。在所有病例中，这些表现均在2至12小时内消失。进展为呼吸暂停的患者，自主呼吸在30至60分钟内恢复。鉴于最近一些地区决定减少白内障手术的麻醉覆盖范围，这些发现尤为重要。
