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Purtscher-like retinopathy after retrobulbar anesthesia
J M Lemagne1, X Michiels, S Van Causenbroeck
1Department of Ophthalmology, Catholic University of Louvain, Brussels, Belgium.
Ophthalmology
|July 1, 1990
Summary
A patient developed Purtscher-like retinopathy after a pterygium excision with lidocaine HCl injection. While vision improved, persistent visual field defects suggest potential long-term complications.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Ophthalmic Surgery
Background:
- Purtscher-like retinopathy is a rare condition causing visual disturbances.
- Retrobulbar injections are common in ophthalmic procedures.
Observation:
- A 41-year-old woman experienced Purtscher-like retinopathy post-pterygium excision.
- The condition followed a retrobulbar injection of lidocaine HCl.
Findings:
- Initial visual acuity was 20/200, improving to 20/25 within 12 weeks.
- Retinal exudates and hemorrhages resolved, but a paracentral scotoma and afferent pupil defect remained.
Implications:
- This case highlights a potential complication of retrobulbar lidocaine injections.
- Understanding the pathophysiology is crucial for managing and preventing such visual impairments.