Inadvertent ocular perforation and intravitreal injection of an anesthetic agent during retrobulbar injection.
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.
Wadood
Azfar C
AC
Princess Alexandra Eye Pavilion, Lothian University Hospital, Royal Infirmary Edinburgh, Edinburgh, United Kingdom.
Dhillon
Baljeen
B
Singh
Jaswinder
J
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
D000779:Anesthetics, Local; D002045:Bupivacaine