Ipsilateral globe penetration and transient contralateral amaurosis following retrobulbar anesthesia.
OBJECTIVE
To report a rare complication of retrobulbar anesthesia with ipsilateral globe penetration and transient contralateral amaurosis.


METHODS
Interventional case report.


METHODS
A 63-year-old woman complained of vision loss in the right eye immediately following cataract surgery on the left eye.


RESULTS
Right eye vision decreased to no light perception with clear media and normal fundus. The vision recovered to baseline in 12 hours. Left eye vision was checked and demonstrated only light perception. Fundus examination disclosed preretinal and vitreous hemorrhage. During vitrectomy of the left eye, a penetrating wound below the optic disk with retinal detachment was found.


CONCLUSIONS
The ipsilateral globe penetration wound depicts the mechanism of contralateral amaurosis following retrobulbar anesthesia of the case.
Lau
Ling-Ing
LI
Department of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan.
Lin
Po-Kang
PK
Hsu
Wen-Ming
WM
Liu
Jorn-Hon
JH
D000772:Anesthesia, Local / Q000009:adverse effects*; D001766:Blindness / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D002387:Cataract Extraction; D015807:Eye Injuries, Penetrating / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D016602:Needlestick Injuries / Q000150:complications*; D009915:Orbit; D012160:Retina / Q000293:injuries*; D012163:Retinal Detachment / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D012166:Retinal Hemorrhage / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D012590:Sclera / Q000293:injuries*; D014792:Visual Acuity; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000209:etiology / Q000503:physiopathology / Q000601:surgery