Management of ocular perforations resulting from peribulbar anaesthesia.
OBJECTIVE
To analyze the clinical presentation and outcome of treatment for globe perforation secondary to peri-bulbar anaesthesia.


METHODS
Eight patients (3 females and 5 males) aged 66-84 years were included in the study. Ocular perforations were suspected in 3 cases before or during surgery, in 4 cases diagnosis was established within one week and in one case at 3 weeks. Three patients underwent indirect argon laser photocoagulation to seal the retinal break, one patient had cryotherapy, 3 patients underwent a pars plana vitrectomy with fluid gas exchange and endo-laser; and one patient refused any further treatment.


RESULTS
The final visual acuity after a mean follow up of 14 months was better than 6/9 in 2 patients, between 6/9-6/12 in 4 patients, and perception of light in 2 patients.


CONCLUSIONS
If diagnosed early and treated adequately, a majority of patients with globe perforation during periocular anaesthetic could be saved.
Puri
P
P
Department of Ophthalmology, Southport General Infirmary, UK.
Verma
D
D
McKibbin
M
M
D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000008:administration & dosage; D015807:Eye Injuries, Penetrating / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007267:Injections; D017075:Laser Coagulation; D008297:Male; D016602:Needlestick Injuries / Q000209:etiology / Q000601:surgery*; D009915:Orbit; D012086:Reoperation; D012160:Retina / Q000293:injuries*; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery; D012167:Retinal Perforations / Q000209:etiology / Q000601:surgery; D012590:Sclera / Q000293:injuries*; D016896:Treatment Outcome; D014821:Vitrectomy
D000779:Anesthetics, Local