Local anaesthesia without retrobulbar injection.

Extracapsular cataract extraction under local anaesthesia without retrobulbar injection.

Day-case cataract surgery and the need for local anaesthesia are likely to increase. Retrobulbar (and peribulbar) anaesthetic injection is a common technique in cataract surgery, but serious complications are persistently reported. Subconjunctival injection is an alternative that avoids these risks. This retrospective study compares two groups of patients that underwent extracapsular cataract s...

Cataract extraction without retrobulbar anaesthetic injection.

Extracapsular cataract extraction with lens implant under local anaesthesia consisting of amethocaine drops followed by a simple subconjunctival injection in the upper part of the globe but without a retrobulbar injection was carried out in 175 eyes of 165 patients. The purpose of the study was to establish the feasibility of this type of anaesthesia in cataract surgery with the principal objec...

Effect of retrobulbar versus subconjunctival anaesthesia on retrobulbar haemodynamics.

AIM To investigate the effect of retrobulbar and subconjunctival anaesthesia on retrobulbar haemodynamics by colour Doppler imaging. METHOD 39 patients (mean age 71 (SD 9) years; 19 females, 20 males) undergoing planned cataract surgery were included in the prospective study. Colour Doppler imaging (Siemens Sonoline Sienna, Germany) was performed before, directly after either subconjunctival ...

Cranial nerve palsy following retrobulbar anaesthesia.

Periocular necrotizing fasciitis following retrobulbar injection

Necrotizing fasciitis is a rare, rapidly progressive severe bacterial soft tissue infection with a high mortality rate. While necrotizing fasciitis classically involves the trunk, groin/perineum, lower limbs, and postoperative wound sites, primary involvement of the eyelids is a rare but well known entity. We present a 33-year-old female patient who developed periocular necrotizing fasciitis af...