title: Inadvertent retrobulbar administration of hypertonic saline prior to cataract extraction.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Neurology, and Neurosurgery, The University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1091, USA.
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Lee
authors.forename: William
authors.initials: W
authors.lastname: Lipsky
authors.forename: James N
authors.initials: JN
authors.lastname: Bates
authors.forename: Frank
authors.initials: F
authors.lastname: Grady
mesh_terms: 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*
chemical_list: D012462:Saline Solution, Hypertonic