Retrobulbar anesthesia (block) is used for many ocular surgeries, whereas it is well known that this procedure has complications such as for retrobulbar hemorrhage, globe perforation, optic nerve injury and brain stem anesthesia. In this report, we present a unique case in the literature of isolated exudative retinal detachment (RD) secondary to iatrogenic retrobulbar hemorrhage. A 73-year-old ...

OBJECTIVES To compare the effectiveness, in terms of pain relief and akinesia of retrobulbar and subconjunctival an aesthesia during cataract surgery and also to compare the degree of postoperative ptosis associated with each technique. MATERIALS AND METHODS Consecutive adult patients undergoing cataract surgery between March and June 2008 at the Guinness Eye Center Onitsha, were randomized i...

Background. Spontaneous orbital haemorrhage is a very rare condition and vision-threatening event. It may occur due to trauma, orbital surgery/injections, orbital vascular anomalies, and a variety of systemic predisposing factors. Signs of retrobulbar hemorrhage include proptosis, ophthalmoplegia, increased intraocular pressure, loss of pupillary reflexes, and optic disc or retinal pallor. Both...

Optic nerve astrocytomas (ONAs) are frequent types of optic nerve gliomas (ONGs), which can affect the visual pathway. An 18-year-old male patient was admitted to our department with right-sided intraorbital/retrobulbar swelling, which progressively grew over several months. Clinical examination showed right-sided diplopia, mydriasis, low visual acuity (0.4), exophthalmus (3 cm), epiphora, and ...

Recent studies have evaluated many methods of reducing vitreous mass and minimizing vitreous loss at lens extraction (Robbins and Galin, I969; Robbins, Blumenthal, and Galin, I970; Galin, Robbins, and Obstbaum, 1970). In the rabbit, it is clear that hyperosmolar solutions are effective, while digital massage is not (Obstbaum, Robbins, Best, and Galin, 1970). It has been accepted that correctly-...

Knowledge of the anatomy of the body is essential when carrying out invasive procedures. The orbital anatomy is particularly interesting as it allows some neurovascular structures to be subjected to the effects of local anaesthetic while sparing others. There are also serious potential complications from retrobulbar injections. This review takes an in depth look at the anatomy of the orbit, the...

PURPOSE Topical anesthesia is increasingly being used for cataract surgery. However, it is believed that topical anesthesia causes an increased risk of intraoperative complications from unrestricted eye movement and insufficient pain control and more need for sedation. It is difficult to compare pain and anxiety experienced by individual patients; therefore, the authors used the method of patie...

The studybySoares et al. 1 published in this edition of the Brazilian Journal of Anesthesiology has aroused old questions about anesthetic techniques for eye surgery: retrobulbar, peribulbar, extraconal, periconal and subtenonian Anesthetic techniques aim at depositing local anesthetics in a given point as from which spread may reach ciliary nerves responsible for eye sensitivity, ciliary gangl...

abstract background and aim: consider ing based on the presence or absence of swelling of the optic disc, optic neuritis classified nto two types of anterior and retrobulbar optic neuritis. the aim of this study was to compare the visual functions of patients with anterior optic neuritis and retrobulbar optic neuritis. materials and methods:this cross-sectional study was conducted in 48 patient...

An otherwise healthy 12-year-old boy was evaluated for an enlarged blind spot in his left eye. Neither optic nerve edema/neuritis nor a retrobulbar mass explained this finding. Consultation with a neuro-ophthalmologist over a period of 14 months resulted in a diagnosis of acute, idiopathic blind spot enlargement syndrome, a rare and poorly understood ocular condition. To the author's knowledge,...