Немного про побочные эффекты интраокулярного лидокаина:
Transient loss of vision is practically routine from retrobulbar injections of lidocaine or procaine.
Inadvertent intraocular injection of a local anesthetic into the
anterior chamber is a rare but potentially devastating event. Instances
of toxicity to the corneal endothelial cell secondary to
local anesthesia have recently increased due to the use of intracameral
anesthesia.
Интересно (катарактальщикам на заметку):
Lee et al (2003) confirm that intracameral 1% lidocaine causes pupillary dilation
in the eyes, which are difficult to dilate.
А теперь, собственно, про интравитреальное введение анестетика:
The outcome of inadvertent local anesthetic injected in
the posterior segment is often dependent on the direct effect of
the penetration trauma. Although a double perforation may have
a better prognosis than a single perforation, an injection through
the pars plana may be devoid of significant effects other than
the acute rise in intraocular pressure. The immediate effect of
the injection is a marked increase in intraocular pressure, with
or without pupillary dilation, corneal edema or loss of vision. All
of the above are transitory since there appear to be no significant
long-term toxic effects of the local anesthetic on the retina or
optic nerve. The chief concern is control of the acute rise in
pressure, which may be severe enough to cause central retinal
venous or arterial occlusion. Next are the problems from retinal
perforation, vitreous adhesion or retinal detachment.
Цитаты из Clinical Ocular Toxicology.
p.s. пусть на ретиналамин в суд подаёт
