Ocular perforation during peribulbar anaesthesia.
Six cases of ocular perforation after peribulbar anaesthesia are reported. They were referred to our vitreoretinal unit from other hospitals over a 6 week period. Some recent reports of ocular perforation with peribulbar anaesthesia suggest a good prognosis. In this series all six required surgical intervention and most cases associated with a retinal detachment had a poor outcome. This study highlights the dangers of ocular perforation and emphasises the need for supervised training of peribulbar anaesthesia and early referral should ocular perforation occur.
Gillow
J T
JT
Birmingham and Midland Eye Centre, UK.
Aggarwal
R K
RK
Kirkby
G R
GR
D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local / Q000009:adverse effects*; D015807:Eye Injuries, Penetrating / Q000209:etiology*; D005260:Female; D006801:Humans; D007267:Injections / Q000009:adverse effects; D008297:Male; D011446:Prospective Studies; D012163:Retinal Detachment / Q000209:etiology* / Q000601:surgery; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000209:etiology* / Q000601:surgery