One case of central toxicity resulted from retrobulbar block: contralateral ocular dyskinesia
Journal Title: Eye Science (Yanke Xuebao) - Year 2022, Vol 37, Issue 9
Abstract
Retrobulbar block is one of the common anesthesia methods in ophthalmic surgery, however, misconducting the procedure would result in severe complications including central toxicity from local anesthetics. This study presented a 26-year-old female patient diagnosed retinal detachment for retinal surgery under retrobulbar block, 10 min after anesthesia, the patient initially exhibited increased heart rate and blood pressure, inability to swallow secretions (sputum), hoarseness, and dyspnea, then SpO2 decreased, the patient displayed contralateral eye movement disorder, reduced systemic muscle strength and other clinical manifestations. The condition was improved with the treatments for life support, and the surgery completed uneventfully under general anesthesia with tracheal intubation.
Authors and Affiliations
Caihong ZHANG, Kaiwei WANG
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