Purtscher-like Retinopathy an Unusual Complication of Retrobulbar Anesthesia after Cataract Surgery
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Purtscher and Purtscher-like retinopathy are exceptionally rare conditions characterized by a distinctive pattern of ischemic retinal fundus findings, typically following traumatic or non-traumatic events, respectively, and resulting in sudden and severe visual impairment. We report the case of a 77-year-old male patient who experienced acute visual loss following retrobulbar anesthesia administered for routine cataract surgery. This case highlights a rare instance of Purtscher-like retinopathy as a complication of retrobulbar anesthesia which is a commonly used technique in ophthalmic surgery that provides effective akinesia and anesthesia. Although the peribulbar technique is often favored for its lower risk of optic nerve injury and intradural injection, it has also been associated with complications, including central retinal artery occlusion and Purtscher-like retinopathy.1
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