Vision Loss following Small Incision Cataract Surgery: A Case Report

  • Sushma Chaudhary Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal https://orcid.org/0000-0002-5061-652X
  • Sharad Gupta Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal
  • Sanjaykumar Singh Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal
  • Hari Sharma Dristi Eye Hospital, Birgunj, Nepal.
  • Reena Yadav Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal
  • Vinit Kumar Kamble Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal
Keywords: Optical Coherence Tomography Angigraphy, Retinal Artery Occlusion, Retrobulbar anesthesia

Abstract

Introduction: Retro-bulbar block is still safe and widely employed anesthetic technique in large volume routine cataract surgery. Nevertheless, the procedure is not free of complication. Case report: A 48 years old man who had small incision cataract surgery of left eye under retro-bulbar block, had vision of hand movement close to face on his first postoperative day. He was given intracameral cefuroxime and subconjunctival gentamycin at the end of the surgery. Fundoscopy of the operated eye showed marked retinal whitening with cherry-red spot in the posterior pole suggestive of cilio-retinal artery occlusion. Optical coherence tomography and optical coherence tomography angiography were done to support and confirm the diagnosis. Conclusion: Retinal artery occlusion secondary to retro-bulbar block or drug induced toxicity following routine cataract surgery is unusual and sometimes dreadful vision threatening complication can occur.

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Author Biographies

Sushma Chaudhary, Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal

Optometrist.

Sharad Gupta, Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal

Consultant Ophthalmologist.

Sanjaykumar Singh, Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal

Consultant Ophthalmologist.

Hari Sharma, Dristi Eye Hospital, Birgunj, Nepal.

Consultant Ophthalmologist.

Reena Yadav, Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal

Consultant Ophthalmologist. 

Vinit Kumar Kamble, Sagarmatha Choudhary Eye Hospital, Siraha, Lahan, Nepal

Consultant Ophthalmologist.

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Published
2021-05-15
How to Cite
1.
Chaudhary S, Gupta S, Singh S, Sharma H, Yadav R, Kamble V. Vision Loss following Small Incision Cataract Surgery: A Case Report. J Lumbini Med Coll [Internet]. 15May2021 [cited 28Jul.2021];9(1):4 pages. Available from: https://jlmc.edu.np/index.php/JLMC/article/view/390
Section
Case Report