Background We describe a patient presenting with central retinal artery occlusion (CRAO) of
the right eye after retrobulbar anesthesia with adrenaline for macular pucker surgery. Case
presentation The patient, a 67-year-old Caucasian man, developed a CRAO postoperatively
by the next-day control likely due to the retrobulbar injection of a combination of Xylocaine
and Bupivacaine with adrenaline as anesthetic. Conclusions The addition of adrenaline to
the standard anesthetic solution could be a risk factor for serious complications, such as …

… Iatrogenic central retinal artery occlusion following retrobulbar anesthesia with
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