Abstract
A 69-year-old man with diabetes mellitus (DM) was scheduled for vitrectomy. After retrobulbar anesthesia and akinesia, the patient developed bradycardia and hypotension. After performing temporary percutaneous pacing, an intravenous ventricular pacing cathe-ter was introduced. These symptoms were thought to be caused by acute myocardial infarction, since sinus arrest or complete atrial-ventricular-blocking were observed. Coronary angiography was performed and 100% obstruction of the first branch was recognized. PTCA was performed. The patient recieved administration of cathecholamines and IABP for a few days, then recovered completely. This case involved optical surgery under local anesthesia which simplifies preoperative examination and surgical management compared to using general anesthesia. With this method much greater attention should be paid during the perioperative period since patients with DM may develop general vascular complications.
