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Vision loss and partial third nerve palsy following contralateral peribulbar anesthesia.

Abstract
We report the case of a 72-year-old woman who experienced transient complete visual loss and a partial third nerve palsy in 1 eye following cataract surgery under local anesthesia in the fellow eye. Symptoms and signs were determined to result from the administration of a peribulbar block, which was presumably associated with ipsilateral transoptic nerve sheath spread. We believe this is the first report of contralateral amaurosis and oculomotor nerve palsy following peribulbar anesthesia.
AuthorsMatthew Krilis, Alina Zeldovich, Raymond Garrick, Ivan Goldberg
JournalJournal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 39 Issue 1 Pg. 132-133 (Jan 2013) ISSN: 1873-4502 [Electronic] United States
PMID23245365 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2013. Published by Elsevier Inc.
Chemical References
  • Amides
  • Anesthetics, Local
  • Ropivacaine
Topics
  • Aged
  • Amides (administration & dosage)
  • Anesthesia, Local (adverse effects)
  • Anesthetics, Local (administration & dosage)
  • Blindness (etiology, physiopathology)
  • Cataract Extraction
  • Female
  • Functional Laterality
  • Humans
  • Oculomotor Nerve Diseases (etiology, physiopathology)
  • Orbit
  • Ropivacaine

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