BACKGROUND Retro-bulbar anesthesia is one of the most common regional blocks used for intraocular surgeries. Complications associated with regional blocks may be limited to the eye or may be systemic. CASE REPORT After a retro-bulbar block for glaucoma surgery, a 60-year-old man developed loss of consciousness, apnea with hypotension and bradycardia-features of brainstem anesthesia. We presen...

62 years old male patient who presented blunt trauma in his right eye with subsequent orbital fracture type impure blow-out required open reduction of the facial fracture, at second postoperative day a retrobulbar hematoma need for surgical intervention urgency.

Aims—A prospective, randomised, double blind study was used to investigate the eVect of hyaluronidase on the quality of block achieved with sub-Tenon’s local anaesthesia. Methods—150 patients scheduled for elective cataract surgery were randomly allocated to either sub-Tenon’s block with 3 ml lignocaine 2%/adrenaline 1:200 000 alone or with the addition of 30 IU/ml of hyaluronidase. The blocks ...

BACKGROUND AND OBJECTIVES The CEROF-HC is a public hospital specialized in ophthalmology. Anesthetic blocks for ophthalmic surgeries are common and effective. But the technique is not devoid of risks, and there is the possibility of meningeal perforation and injection of the local anesthetic (LA) in the central nervous system (CNS). The objective of this study was to report a case of brainstem ...

Progression in phacoemulsification techniques for cataract surgery[1-4] has also led to inevitable changes in the delivery of accompanying anesthesia from general to local modalities [5-7] i.e. retrobulbar, peribulbar, Sub-Tenon and topical anesthesia. General anesthesia is preferred for complicated intracapsular cataract extraction (ICCE) surgery as this technique involves significant manipula...

AcuTE retrobulbar neuritis is a common disorder, easily recognized if the characteristic features are known, and usually followed by a good recovery of vision. In contrast to this, chronic retrobulbar neuritis is relatively rare, presents problems in differential diagnosis and is associated with progressive visual disturbance which is usually permanent and sometimes severe. This paper is based ...

Weber-Christian disease (WCD) is a rare inflammatory disease of adipose tissue, which is characterized by painful cutaneous nodules and constitutional symptoms. Although any area of the body containing fat can be affected by WCD, the involvement of retrobulbar fat is uncommon and proptosis is a rare presenting manifestation. We report a case who presented with proptosis of the right eye which i...

Under general anaesthesia the eye position of esotropia generally moved divergently. When retrobulbar anaesthesia was added bilaterally, the eye position moved further in the same direction. In the electromyogram under general anaesthesia the 4 horizontal recti were silent in controls. In many cases of esotropia, however, both medial recti showed a considerable amount of discharge under general...