TY - JOUR T1 - Retinal toxicity after accidental intravitreal injection of mepivacaine and adrenaline JO - Archivos de la Sociedad Española de Oftalmología (English Edition) T2 - AU - López-Herrero,F. AU - Sánchez-Vicente,J.L. AU - Monge-Esquivel,J. AU - Parra-Oviedo,E. AU - Martínez-Borrego,A. AU - Muñoz-Morales,A. SN - 21735794 M3 - 10.1016/j.oftale.2017.11.006 DO - 10.1016/j.oftale.2017.11.006 UR - https://www.elsevier.es/en-revista-archivos-sociedad-espanola-oftalmologia-english-496-articulo-retinal-toxicity-after-accidental-intravitreal-S2173579417302050 AB - Case reportThe case is presented of a 32 year-old male with no medical history of interest who suffered a traffic accident with mild traumatic brain injury. He had a left supraciliary incised and contused wound that extended to the left upper eyelid, with no loss of vision.After palpebral anesthetic injection, there was a sudden visual acuity decrease in the left eye and hyposphagma located between I–III at 4mm from the limbus, with increased intraocular pressure. A whitish lesion with a central hemorrhagic focus was observed in the ocular fundus, corresponding to the area where the hyposphagma was located. DiscussionAnesthetic injection during palpebral repair may be complicated by inadvertent penetration of the eyeball. Intravitreal mepivacaine and adrenaline could cause macular and retinal lesions. ER -