Lignocaine Retinal Toxicity

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    • By Mallika Goyal, MD
      Apollo Health City
      Co-author(s): Sridhar A, MD, Apollo Health City, Jubilee Hills, Hyderabad, India
    • Uploaded on Aug 21, 2015.
    • Last modified by Caroline Bozell on Aug 21, 2015.
    Rating
    Appears in
    Lignocaine retinal toxicity
    Condition/keywords
    lignocaine retinal toxicity
    Photographer
    Mallika Goyal, MD, Apollo Health City, Jubilee Hills, Hyderabad, India
    Imaging device
    Optical coherence tomography system
    Description
    Right eye OCT of a 70-year-old male 3 weeks after inadvertent globe penetration with peribulbar anaesthesia needle and intraocular injection of lignocaine showing a taut epimacular membrane with macular elevation compared to a relatively normal foveal contour immediately after surgery suggesting progressive traction secondary to lignaocaine toxicity. Fluorescein angiography revealed an occluded retinal arteriole at the macula indicating macular ischaemia underlying the membrane.

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