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Seizures during Pars Plana Vitrectomy Surgery with Retrobulbar Anesthesia: A Case Report

Shuang Song, Xiao-bing Yu and Hong Dai

We are presenting a patient who experienced generalized tonic-clonic seizures after retrobulbar injection of 2% lidocaine and 0.75% bupivacaine before pars plana vitrectomy surgery. Airway control was achieved and oxygen was given manually via a face mask. He recovered spontaneous ventilation five minutes later but did not remember experiencing the seizures. The patient had no personal or family antecedents of epilepsy. A computed tomography scan of brain was normal. As seizures are rare and serious complications which can occur during locoregional anesthesia, the mechanisms involved in this complication and possible methods of prevention should be discussed clinically.