Management of iatrogenic globe perforation during peribulbar anesthesia with submacular hemorrhage

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Perforation of the globe--a complication of peribulbar anaesthesia.

Peribulbar anaesthesia has been recommended as a safer alternative to retrobulbar anaesthesia. We report a case of perforation of the globe sustained during peribulbar anaesthesia which resulted in blindness. Orbital injections are potentially dangerous, be they peribulbar or retrobulbar. To minimise the risk, short, blunt needles are advocated for the peribulbar route.

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Peribulbar anesthesia causing bilateral orbital hemorrhage

We report a case of bilateral orbital hemorrhage as a complication of peribulbar anesthesia in a 78 year old man. Initially, unilateral orbital hemorrhage occurred but quickly spread to the contralateral side. Neuroophthalmological assessment revealed a proptosed tense globe with normal retinovascular findings. Visual acuity was adversely affected and this was conservatively managed with no las...

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Choroidal neovascularization after globe penetration by peribulbar anesthesia.

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Risks and sequelae of scleral perforation during peribulbar or retrobulbar anesthesia.

PURPOSE To assess the risk for and circumstances of serious complications during peribulbar and retrobulbar anesthesia. SETTING University eye departments, Freiburg and Würzburg, Germany, and Skopje, Macedonia. METHODS This retrospective analysis comprised patients who received secondary care for complications of inadvertent globe perforation during peribulbar or retrobulbar injections over...

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The incidence of esophageal perforation may be increasing as endoscopic procedures are becoming a standard diagnostic technique. Other situations such as vomiting, infection, malignancies may also be associated with esophageal rupture. Presenting symptoms may be non specific but delay in accurate diagnosis carries a high morbidity and mortality. Anesthetic management is critical to survival. A ...

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ژورنال

عنوان ژورنال: Oman Journal of Ophthalmology

سال: 2020

ISSN: 0974-620X

DOI: 10.4103/ojo.ojo_208_2019