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Ocular explosion after peribulbar anesthesia.

Gagandeep S Brar1, Jagat Ram, Mangat Ram Dogra

  • 1Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Journal of Cataract and Refractive Surgery
|April 26, 2002
PubMed
Summary
This summary is machine-generated.

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Globe rupture is a severe risk following peribulbar anesthesia due to accidental intraocular injection. Prompt vitrectomy can improve visual outcomes, especially if retinal detachment is avoided.

Area of Science:

  • Ophthalmology
  • Anesthesiology

Background:

  • Peribulbar anesthesia is a common technique for ophthalmic procedures.
  • Potential complications include inadvertent intraocular injection.
  • Globe rupture is a rare but devastating complication.

Observation:

  • This report details three cases of globe rupture occurring after peribulbar anesthesia.
  • The cases highlight predisposing factors and clinical presentations.
  • Visual outcomes were assessed following surgical intervention.

Findings:

  • Inadvertent intraocular injection during peribulbar anesthesia can lead to globe rupture.
  • Surgical management, particularly vitrectomy, is indicated for globe rupture.
  • Successful visual recovery is possible in cases without retinal detachment.

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Implications:

  • Awareness of risk factors is crucial for preventing globe rupture during peribulbar anesthesia.
  • Early diagnosis and appropriate surgical management can optimize visual prognosis.
  • Further research into anesthetic techniques may reduce the incidence of this severe complication.