Visual loss following intranasal anesthetic injection

P J Savino; R M Burde; R P Mills

Visual loss following intranasal anesthetic injection

J Clin Neuroophthalmol. 1990 Jun;10(2):140-4.

Authors

P J Savino¹, R M Burde, R P Mills

Affiliation

¹ Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania 19107.

PMID: 2141858

Abstract

Four patients had visual loss after nasal surgery. There was one instance each of branch retinal artery occlusion, central retinal artery occlusion, anterior ischemic optic neuropathy, and posterior ischemic optic neuropathy. The postulated mechanism is vasospasm. The submucosal injection, under pressure, of an anesthetic with epinephrine is deemed to be causative.

Publication types

Case Reports

MeSH terms

Adult
Anesthetics, Local / adverse effects*
Blindness / chemically induced*
Epinephrine / adverse effects
Female
Fundus Oculi
Humans
Ischemia / etiology
Male
Nasal Cavity / surgery*
Optic Nerve / blood supply
Retinal Artery Occlusion / chemically induced
Spasm / chemically induced
Visual Acuity
Visual Fields

Substances

Anesthetics, Local
Epinephrine