Inadvertent retrobulbar administration of hypertonic saline prior to cataract extraction.
A 36-year-old woman with retinitis pigmentosa was scheduled for removal of posterior subcapsular cataracts and experienced inadvertent retrobulbar administration of hypertonic saline. The patient developed retrobulbar pain and ophthalmoplegia that slowly improved over time. Hypertonic saline may cause ophthalmoplegia and pain if inadvertently given as a retrobulbar injection.
Lee
Andrew G
AG
Department of Ophthalmology, Neurology, and Neurosurgery, The University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1091, USA.
Lipsky
William
W
Bates
James N
JN
Grady
Frank
F
D000328:Adult; D005260:Female; D006801:Humans; D007267:Injections; D019654:Lens Implantation, Intraocular; D008508:Medication Errors; D009886:Ophthalmoplegia / Q000139:chemically induced* / Q000503:physiopathology; D009915:Orbit / Q000187:drug effects*; D010146:Pain / Q000139:chemically induced* / Q000503:physiopathology; D018918:Phacoemulsification; D012462:Saline Solution, Hypertonic / Q000009:adverse effects*
D012462:Saline Solution, Hypertonic