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Updated: May 13, 2026

An Alternative and Validated Injection Method for Accessing the Subretinal Space via a Transcleral Posterior Approach
Published on: December 7, 2016
Periocular hematoma secondary to subperiosteal injury by a short needle
Nauman Ahmad1, Abdul Zahoor, Sahar M Elkhamary
1Department of Anesthesia, King Khaled Eye Specialists Hospital, Riyadh, Saudi Arabia.
Abstract:
Bleeding and intraorbital hematoma is one of the most common complications of needle block for ophthalmic local anesthesia. We describe an unusual presentation of hematoma that originated in the subperiosteal space and extended to the subconjunctival and periocular area after a peribulbar block for phacoemulsification in a 55-year-old lady. It required an urgent surgical evacuation in order to reduce the intraocular pressure and save the eye. Detailed management to improve the outcome is discussed.
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