title: [Contralateral amaurosis and extraocular muscle palsies after retrobulbar injection].
abstract: METHODS
  We report a rare complication of retrobulbar anesthesia in ophthalmic surgery-amarurosis and extraocular muscle palsies in the contralateral eye. Our patient did not suffer permanent sequelae from the injection.
  
  
  CONCLUSIONS
  Numerous complications resulting from retrobulbar injections in the eye and orbit have been reported. One possible explanation of this case is the inadvertent penetration of the subdural or subarachnoid space surrounding the optic nerve and the injection of anesthetic into that space. The drug then tracks along the ipsilateral optic nerve to the chiasm and then to the contralateral optic nerve. Several methods of decreasing the probability of such a complication are discussed.
authors.affiliation: Servicio de Oftalmología, Hospital Carlos Haya, Málaga, Spain. achinchu@hotmail.com
authors.forename: A
authors.initials: A
authors.lastname: Chinchurreta-Capote
authors.forename: F J
authors.initials: FJ
authors.lastname: Beltrán-Ureña
authors.forename: M A
authors.initials: MA
authors.lastname: Fernández-Ramos
authors.forename: C
authors.initials: C
authors.lastname: Martínez-de-Velasco-Santos
mesh_terms: D000368:Aged; D000772:Anesthesia, Local / Q000009:adverse effects; D000779:Anesthetics, Local / Q000009:adverse effects*; D001766:Blindness / Q000139:chemically induced*; D006801:Humans; D007267:Injections / Q000009:adverse effects*; D008297:Male; D009801:Oculomotor Muscles / Q000187:drug effects; D009886:Ophthalmoplegia / Q000139:chemically induced*
chemical_list: D000779:Anesthetics, Local