Paracentral acute middle maculopathy after uneventful ocular surgery with local anaesthetic blocks.
Carolina Bernal-MoralesDaniel Velázquez-VilloriaJuan Manuel Cubero-ParraPearse Andrew KeaneDawn A SimAlfredo AdánAdnan TufailJavier Zarranz-VenturaPublished in: Eye (London, England) (2021)
A combination of a vasoconstrictive effect of the anaesthetic agent, an intraocular pressure spike and a mechanical effect of the volume of anaesthetic injected may result in decreased retinal artery perfusion and be evidenced as PAMM in OCT scans. PAMM may present as a potential complication of local anaesthetic blocks in cases of unexpected visual loss after uneventful ocular surgery.
Keyphrases
- minimally invasive
- coronary artery bypass
- optic nerve
- optical coherence tomography
- diabetic retinopathy
- computed tomography
- surgical site infection
- liver failure
- contrast enhanced
- magnetic resonance imaging
- percutaneous coronary intervention
- drug induced
- hepatitis b virus
- intensive care unit
- climate change
- coronary artery disease