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Related Experiment Videos

Orbital inflammation after sub-Tenon's anesthesia.

Subhanjan Mukherji1, Leonard Esakowitz

  • 1Registrar Department, Royal Alexandra Hospital, Paisley, Paisley, United Kingdom. subhanjan@doctors.net.uk

Journal of Cataract and Refractive Surgery
|January 18, 2006
PubMed
Summary
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Orbital swelling can occur after sub-Tenon

Area of Science:

  • Ophthalmology
  • Ophthalmic Surgery

Background:

  • Sub-Tenon's anesthesia is a common technique for ophthalmic procedures.
  • Postoperative complications require careful monitoring and management.

Observation:

  • Two patients developed orbital swelling, proptosis, and conjunctival chemosis following sub-Tenon's anesthesia for cataract surgery.
  • Symptoms appeared 3-4 days postoperatively, with computed tomography revealing diffuse orbital inflammation.

Findings:

  • Both patients' inflammation resolved with systemic steroids, with one also receiving antibiotics.
  • Possible causes include infection, reaction to anesthetic or povidone-iodine, or cannula trauma.

Implications:

  • Orbital inflammation is a potential, albeit rare, complication of sub-Tenon's anesthesia.

Related Experiment Videos

  • Prompt diagnosis and management with corticosteroids are effective in resolving symptoms.