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Posterior Ischaemic Optic Neuropathy after Intranasal Anesthetic Injection: Case Report with OCT Findings
Neuro-Ophthalmology, 06/17/09
Enriquez JN et al. - Visual loss after nasal septoplasty surgery is extremely rare, with few cases reported in the literature. It can occur if the optic canal is fractured, but has been most commonly reported as a complication of intranasal anesthetic injections. Vigorous pressure during injection can overcome arterial pressure causing the injected material to circulate in a retrograde manner via arterial branches and cause ischaemia of the optic nerve.
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