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Traumatic intramuscular orbital haemorrhage.
G Gock1, I C Francis, S Mulligan
1Sydney Eye Hospital, New South Wales, Australia.
Clinical & Experimental Ophthalmology
|November 30, 2000
Summary
Retrobulbar haemorrhage is a rare complication of eye surgery anesthesia. This case highlights a sight-threatening bleed from peribulbar anaesthesia, successfully treated with prompt surgery.
Area of Science:
- Ophthalmology
- Anesthesiology
- Surgical Complications
Background:
- Retrobulbar haemorrhage is a known risk of retrobulbar anaesthetic blocks.
- Peribulbar anaesthesia is considered a safer alternative with a lower incidence of retrobulbar haemorrhage.
Observation:
- A patient undergoing cataract surgery developed a sight-threatening retrobulbar haemorrhage.
- The haemorrhage occurred within the medial rectus muscle following a peribulbar anaesthetic block.
Findings:
- The patient required an anterior orbitotomy and direct muscle decompression for treatment.
- Surgical intervention was successful in resolving the complication.
Implications:
- This case underscores the potential for serious complications even with perceived safer anaesthetic techniques.
- Rapid diagnosis and intervention are crucial for successful management of retrobulbar haemorrhage following peribulbar anaesthesia.