title: Inadvertent ocular perforation and intravitreal injection of an anesthetic agent during retrobulbar injection.
abstract: We report the clinical management of a patient who sustained scleral perforation and intraocular injection of local anesthetic agent during retrobulbar block. We discuss the management options for this rare complication of local anesthesia in cataract surgery.
authors.affiliation: Princess Alexandra Eye Pavilion, Lothian University Hospital, Royal Infirmary Edinburgh, Edinburgh, United Kingdom.
authors.forename: Azfar C
authors.initials: AC
authors.lastname: Wadood
authors.forename: Baljeen
authors.initials: B
authors.lastname: Dhillon
authors.forename: Jaswinder
authors.initials: J
authors.lastname: Singh
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000009:adverse effects*; D002045:Bupivacaine / Q000009:adverse effects; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007267:Injections / Q000009:adverse effects*; D008297:Male; D016602:Needlestick Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D018918:Phacoemulsification; D012163:Retinal Detachment / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D012167:Retinal Perforations / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D012421:Rupture; D012590:Sclera / Q000293:injuries*; D014463:Ultrasonography; D014792:Visual Acuity; D014822:Vitreous Body / Q000187:drug effects*; D014823:Vitreous Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine