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BJA Advance Access published online on June 25, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh213
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted May 5, 2004

Case Report

Use of nitrous oxide causing severe visual loss 37 days after retinal surgery

E. J. K. Lee 1*

1 Sussex Eye Hospital, Brighton BN2 5BF, UK

* To whom correspondence should be addressed. E-mail: edwardlee{at}doctors.org.uk.


  Abstract

A case of severe visual loss following nitrous oxide anaesthesia in the presence of an intraocular perfluoropropane (C3F8) gas bubble is described. The diabetic patient had previously undergone vitreoretinal surgery at which time the gas had been inserted. The case highlights the use of long-acting intraocular gases in modern vitreoretinal surgery, and the measures that can be taken to prevent further such episodes.

Keywords: anaesthetics gases, nitrous oxide; complications, visual loss; eye, intraocular gas.
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