Open AccessNeuro-Ophthalmological Emergencies. Are They Always Innocent? A Case Report and a Literature Review
Author(s) -
Anthoula Tsolaki,
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Thomas Tegos,
Ioannis N Chalkias,
Efthymios Chalkias,
Panagiotis Ageladarakis,
Thomas V. Papathomas,
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Publication year - 2021
Language(s) - English
DOI - 10.47363/jnrrr/2021(3)143
Subject(s) - medicine , vitrectomy , pars plana , lidocaine , miosis , respiratory distress , ropivacaine , anesthesia , ophthalmology , visual acuity
Neuro-ophthalmogical complications are rare but can be serious after regional block. We present a case of a 54-year-old diabetic patient who was scheduled for pars plana vitrectomy of his right eye due to tractional retinal detachment, under a peribulbar block with a mixture of lidocaine and ropivacaine. He presented with tachycardia, hypertension, seizures, respiratory distress and apnea. He was intubated for less than 24 hours. He was discharged with no neurological deficit. A review regarding these rare but serious neurological complications of ophthalmic surgery is presented, to raise awareness of neurologists, who are called to evaluate and treat these patients