Perforation of the globe--a complication of peribulbar anaesthesia.
نویسندگان
چکیده
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.
منابع مشابه
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...
متن کاملA complication of peribulbar block in a patient with exophthalmos.
A patient with marked exophthalmos secondary to thyroid eye disease presented for tarsorrhaphy and removal of orbital fat. A single superolateral peribulbar injection was performed. After injection of 3.5 ml of local anaesthetic solution, the globe suddenly dislocated anteriorly. This complication has not been described previously. In patients with exophthalmos, general anaesthesia should be co...
متن کاملIntraocular anesthetic following peribulbar anesthesia.
The incidence of globe perforation following peribulbar anesthesia is rare, occurring in 0.006% of the cases in a recent series. The incidence of intraocular anesthetic injection is also rare; only 4 cases have been reported in the Englishlanguage literature. We report a case of an intraocular injection of a combination of bupivacaine hydrochloride and mepivacaine hydrochloride following globe ...
متن کامل[Orbital abscess after peribulbar anesthesia in a frontoethmoidal mucocele].
CLINIC CASE Peribulbar anesthesia is used in daily practice during cataract surgery. It is a safe technique, but not without complications. We present the case of a man who had an orbital abscess secondary to peribulbar anesthesia that led to the perforation of an unknown frontoethmoidal mucocele. DISCUSSION Orbital abscess secondary to an iatrogenic mucocele perforation after anesthesia is a...
متن کاملRe-evaluation of hyaluronidase in peribulbar anaesthesia.
AIMS/BACKGROUND Hyaluronidase can augment the actions of local anaesthetics in peribulbar anaesthesia. However, evidence suggests satisfactory anaesthesia can be achieved using mixtures without hyaluronidase. A randomised double blind study was conducted on 50 patients, undergoing peribulbar anaesthesia, to validate this observation. METHODS Patients received a standard mixture of local anaes...
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ورودعنوان ژورنال:
- The British journal of ophthalmology
دوره 75 8 شماره
صفحات -
تاریخ انتشار 1991