Ocular perforation during peribulbar anaesthesia

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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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Altered globe dimensions of axial myopia as risk factors for penetrating ocular injury during peribulbar anaesthesia.

We measured the range of equatorial horizontal widths (EHW) in axially myopic eyes and identified the sites of staphyloma using B scan echography. One hundred eyes in 50 patients were studied. The axial lengths (ALs) were sorted into five groups of increasing severity of myopia. The group mean AL, group mean EHW and the ratio of EHW/AL was calculated for each range. The results suggest that the...

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Peribulbar anaesthesia during keratoplasty: a prospective study of 100 cases.

AIMS A prospective study was carried out in order to evaluate the efficacy and safety of peribulbar anaesthesia during keratoplasty and to describe surgical conditions. METHODS Of 137 consecutive keratoplasties, 100 (73%) were performed under peribulbar anaesthesia. Patients received a mean volume of 16.5 (SD 4) ml (range 9-22 ml) of a mixture of etidocaine, bupivacaine, and hyaluronidase. Oc...

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Complication of Peribulbar Block: Brainstem Anaesthesia.

Peribulbar block is used to obtain anaesthesia and akinesia of the eye by injecting a local anaesthetic around the musclecone. A patient scheduled for cataract surgery received peribulbar block with 6 mL of 2% lidocaine hydrochloride. Following the injection, confusion, hypotension and dilatation of the contralateral pupil rapidly progressed to loss of consciousness and respiratory arrest. The ...

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Re-evaluation of hyaluronidase in peribulbar anaesthesia.

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ژورنال

عنوان ژورنال: Eye

سال: 1996

ISSN: 0950-222X,1476-5454

DOI: 10.1038/eye.1996.122