Central Retinal Artery Occlusion after Phacoemulsification – Sight-threatening Complication

While peribulbar block is a safe modality, a relative risk of retinal vascular accident exists and its routine use should be done with caution. We report you a case of central retinal artery occlusion (CRAO) that occurred within 24 hours of routine uneventful phacoemulsification cataract surgery usi...

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Bibliographic Details
Main Authors: Manika Sharma, Kanav Gupta, Brij K. Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-07-01
Series:Delhi Journal of Ophthalmology
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Online Access:https://journals.lww.com/10.4103/DLJO.DLJO_52_24
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Summary:While peribulbar block is a safe modality, a relative risk of retinal vascular accident exists and its routine use should be done with caution. We report you a case of central retinal artery occlusion (CRAO) that occurred within 24 hours of routine uneventful phacoemulsification cataract surgery using peribulbar anaesthesia. A 55 year old man who underwent uneventful phacoemulsification cataract surgery using peribulbar lignocaine with hyaluronic acid and bupivacaine. Patient underwent routine phacoemulsification surgery of left eye for immature senile cataract with pterygium under peribulbar anaesthesia developed central retinal artery occlusion in the immediate post-operative period. The surgery was uneventful. CRAO is rare but an conciseness emergency seen after uneventful phacoemulsification and the cause is mainly anaesthesia related.
ISSN:0972-0200
2454-2784