Iatrogenic central retinal artery occlusion following retrobulbar anesthesia with adrenaline for vitreoretinal surgery: a case report

Abstract

Abstract Background We describe a patient presenting with central retinal artery occlusion (CRAO) of the right eye after retrobulbar anesthesia with adrenaline for macular pucker surgery. Case presentation The patient, a 67-year-old Caucasian man, developed a CRAO postoperatively by the next-day control likely due to the retrobulbar injection of a combination of Xylocaine and Bupivacaine with adrenaline as anesthetic. Conclusions The addition of adrenaline to the standard anesthetic solution could be a risk factor for serious complications, such as CRAO.

Keywords

• Ophthalmology
• Retina
• Central retinal artery occlusion
• Anesthesia
• Adrenaline
• Ocular surgery