| Orbital varix rupture during cataract surgery. | |
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MedLine Citation:
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PMID: 15050276 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a case of orbital varix rupture during cataract surgery with retrobulbar anesthesia. No remarkable changes were observed 10 minutes after retrobulbar anesthesia was administered, but a rise in intraocular and intraorbital pressure was noted about 10 minutes after phacoemulsification began. The eyelid could not be closed at the end of surgery because of severe proptosis. Follow-up by magnetic resonance imaging and color Doppler imaging revealed orbital hemorrhage and varix. Based on the time of its appearance, the hemorrhage was thought to be the result of venous congestion caused by anesthetic agent in the muscle cone. Although intermittent exophthalmos is a symptom of orbital varix, silent orbital varix should be considered when selecting the method of anesthesia for ocular surgery. |
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Authors:
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Miwako Yoshimoto; Shun Matsumoto |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of cataract and refractive surgery Volume: 30 ISSN: 0886-3350 ISO Abbreviation: J Cataract Refract Surg Publication Date: 2004 Mar |
Date Detail:
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Created Date: 2004-03-30 Completed Date: 2004-06-07 Revised Date: 2005-04-26 |
Medline Journal Info:
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Nlm Unique ID: 8604171 Medline TA: J Cataract Refract Surg Country: United States |
Other Details:
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Languages: eng Pagination: 722-5 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Tokyo Teishin Hospital, Tokyo, Japan. myoshimoto@tth-japanpost.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anesthesia, Local Humans Intraocular Pressure Magnetic Resonance Imaging Male Orbit / blood supply* Phacoemulsification* Retrobulbar Hemorrhage / etiology* Rupture, Spontaneous Ultrasonography, Doppler, Color Varicose Veins / complications*, diagnosis |
| Comments/Corrections | |
Comment In:
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J Cataract Refract Surg. 2005 Feb;31(2):256; author reply 256
[PMID:
15767125
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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