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Posterior Ischaemic Optic Neuropathy after Intranasal Anesthetic Injection: Case Report with OCT Findings
Neuro-Ophthalmology, 10/06/09
Enriquez JN et al. – 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. A further possibility is that intranasal injection could cause emboli to enter the optic nerve circulation. Physicians should be aware of this potentially blinding complication after intranasal anesthetic injections.
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