Scleral perforations during peribulbar anaesthesia.
Scleral perforation is a recognised but uncommon complication of retrobulbar and peribulbar anaesthesia; most of the reported cases have required further intervention. We report 5 cases from our department that occurred between October 1991 and June 1992. Surgery was performed in all 5 cases without complications. Vitreous haemorrhage was noted on the first post-operative day in all patients; none of the patients required further intervention. Four of 5 patients achieved a final visual acuity of 6/9 and the fifth case was an amblyopic eye with a final acuity of 6/18.
Mount
A M
AM
Croydon Eye Unit, Surrey, UK.
Seward
H C
HC
D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008875:Middle Aged; D012189:Retrospective Studies; D012590:Sclera / Q000293:injuries*; D014792:Visual Acuity; D014823:Vitreous Hemorrhage / Q000209:etiology