Document Detail

Central retinal-artery occlusion in proliferative sickle-cell retinopathy after retrobulbar injection.
MedLine Citation:
PMID:  3408089     Owner:  NLM     Status:  MEDLINE    
Central retinal-artery obstruction (CRAO) is a devastating complication after retrobulbar anesthesia, a procedure which was previously recommended routinely to immobilize the eye and reduce discomfort during laser surgery. Recent developments in treatment technique, involving scatter laser applications given over several sessions with smaller spot sizes and shorter durations, have virtually eliminated the need for retrobulbar injections and the risks of retrobulbar hemorrhage, which can cause increased intraocular pressure and culminate in closure of the arterial circulation. We present the case of a patient with proliferative sickle retinopathy who sustained such a complication after direct photocoagulation treatment of sea-fans elsewhere and offer alternative treatment techniques which we have used for the past ten years that eliminate this hazard.
S E Roth; L E Magargal; A S Kimmel; J J Augsburger; D L Morrison
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of ophthalmology     Volume:  20     ISSN:  0003-4886     ISO Abbreviation:  Ann Ophthalmol     Publication Date:  1988 Jun 
Date Detail:
Created Date:  1988-09-22     Completed Date:  1988-09-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0210137     Medline TA:  Ann Ophthalmol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  221-4     Citation Subset:  IM    
Retina Vascular Unit, Wills Eye Hospital, Philadelphia, PA 19107.
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MeSH Terms
Anemia, Sickle Cell / complications*
Anesthesia, Local / adverse effects*
Arterial Occlusive Diseases / etiology*
Light Coagulation / adverse effects*
Retinal Artery*
Retinal Diseases / etiology,  surgery*

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