Retrobulbar anesthesia for repair of ruptured globes.
OBJECTIVE
To describe two cases involving patients with ruptured globes in whom retrobulbar anesthesia was used successfully.


METHODS
A modified retrobulbar anesthesia technique was used to repair two ruptured globes in two patients in whom general anesthesia was contraindicated.


RESULTS
Using a modified technique, retrobulbar anesthesia did not cause wound gape or prolapse of intraocular contents.


CONCLUSIONS
Most open globes should be repaired after administration of general anesthesia. Modified retrobulbar anesthesia can provide a reasonable alternative in rare situations in which general anesthesia subjects the patient to an unacceptable risk.
Lo
M W
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Department of Ophthalmology, University of Texas Health Science Center at San Antonio, 78284-6230, USA.
Chalfin
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D000328:Adult; D000768:Anesthesia, General; D000772:Anesthesia, Local / Q000379:methods*; D002387:Cataract Extraction; D000075202:Contraindications; D065306:Corneal Injuries; D005131:Eye Injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D007499:Iris Diseases / Q000209:etiology / Q000601:surgery; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000293:injuries*; D011391:Prolapse; D012421:Rupture; D012590:Sclera / Q000293:injuries*; D013529:Surgical Wound Dehiscence / Q000209:etiology / Q000601:surgery