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Year : 2014  |  Volume : 2  |  Issue : 2  |  Page : 83-85

Temporary complete vision loss after intracameral lignocaine in a post-vitrectomy eye: A single case report

1 Department of Ophthalmology, King George's Medical University, Lucknow, Uttar Pradesh, India
2 Department of Ophthalmology, Jan Kalyan Eye Hospital, Lucknow, Uttar Pradesh, India

Correspondence Address:
Dr. Sanjiv Kumar Gupta
Department of Ophthalmology, King George's Medical University, Lucknow - 226 016, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2347-5617.158226

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We report a case of temporary complete vision loss in a phakic patient after intracameral lignocaine solution injection percolated to the posterior segment of the eye and anesthetized the retina. The main reason of this seepage of lignocaine solution from the anterior chamber to the posterior segment was presumably the hypotony and absence of the vitreous body as the patient had undergone pars plana vitrectomy for intravitreal cysticercus. Once the duration of anesthesia effect of lignocaine elapsed, the patient gained good vision with no obvious retinal damage as seen on fundus imaging and ocular coherence tomography. Thus, one should keep the possibility of intracameral medications to reach the posterior segment in therapeutic/toxic concentrations, especially in postvitrectomy eyes with hypotony.

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