| Central retinal artery occlusion following peribulbar anesthesia for pterygium excision. | |
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MedLine Citation:
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PMID: 22605889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pterygium is a common ocular surface pathology in tropical environments. In the early stages, it may be managed medically with topical anti-inflammatory agents and ocular lubricants. However as the disease progresses, surgical excision becomes necessary and several anaesthetic methods may be used to assist this. We share our experience of a 30-year old woman who underwent uneventful pterygium excision using peribulbar lignocain injection with adrenaline. She developed sudden blindness due to central retinal artery occlusion with macular infarction. While peribulbar anaesthesia is generally safe, a remote risk of retinal vascular accident exists and its routine use should be done with caution. Where possible topical anaesthesia with or without intra-lesional injection be employed. |
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Authors:
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M E Gyasi; R A Kodjo; W M Amoaku |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Ghana medical journal Volume: 46 ISSN: 0016-9560 ISO Abbreviation: Ghana Med J Publication Date: 2012 Mar |
Date Detail:
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Created Date: 2012-05-18 Completed Date: 2012-09-19 Revised Date: 2013-03-01 |
Medline Journal Info:
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Nlm Unique ID: 0073210 Medline TA: Ghana Med J Country: Ghana |
Other Details:
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Languages: eng Pagination: 46-8 Citation Subset: IM |
Affiliation:
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Emmanuel Eye Centre, Accra, Ghana. mikegyasi@yahoo.co.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anesthetics, Local / administration & dosage, adverse effects* Female Humans Pterygium / surgery* Retinal Artery Occlusion / diagnosis, etiology* |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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