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Management of ocular perforations resulting from peribulbar anaesthesia
1Department of Ophthalmology, Southport General Infirmary, UK.
Purpose:
To analyze the clinical presentation and outcome of treatment for globe perforation secondary to peri-bulbar anaesthesia.
Methods:
Eight patients (3 females and 5 males) aged 66-84 years were included in the study. Ocular perforations were suspected in 3 cases before or during surgery, in 4 cases diagnosis was established within one week and in one case at 3 weeks. Three patients underwent indirect argon laser photocoagulation to seal the retinal break, one patient had cryotherapy, 3 patients underwent a pars plana vitrectomy with fluid gas exchange and endo-laser; and one patient refused any further treatment.
Results:
The final visual acuity after a mean follow up of 14 months was better than 6/9 in 2 patients, between 6/9-6/12 in 4 patients, and perception of light in 2 patients.
Conclusion:
If diagnosed early and treated adequately, a majority of patients with globe perforation during periocular anaesthetic could be saved.