Purtscher-like retinopathy after retrobulbar anesthesia

Ophthalmology. 1990 Jul;97(7):859-61. doi: 10.1016/s0161-6420(90)32490-9.


A Purtscher-like retinopathy occurred in a 41-year-old woman who underwent the excision of a pterygium after a retrobulbar injection of 3 ml of lidocaine HCl. Visual acuity increased from 20/200 on the first postoperative day to 20/25, 12 weeks later. The exudates and the hemorrhages progressively disappeared. However, a relative, localized, paracentral scotoma and an afferent pupil defect still persist. The pathophysiology of this Purtscher-like retinopathy is discussed.

Publication types

  • Case Reports

MeSH terms

  • Anesthesia, Local / adverse effects*
  • Female
  • Fluorescein Angiography
  • Follow-Up Studies
  • Fundus Oculi
  • Humans
  • Lidocaine / adverse effects*
  • Middle Aged
  • Postoperative Complications
  • Prognosis
  • Pterygium / surgery
  • Pupil Disorders / etiology
  • Retinal Diseases / etiology*
  • Scotoma / etiology
  • Visual Acuity
  • Visual Fields


  • Lidocaine