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Ocular perforation during peribulbar anaesthesia

J T Gillow1, R K Aggarwal, G R Kirkby

  • 1Birmingham and Midland Eye Centre, UK.

Eye (London, England)
|January 1, 1996
PubMed
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Ocular perforation following peribulbar anesthesia is a serious risk. This study found that all reported cases required surgery, with poor outcomes often linked to retinal detachment, emphasizing training and early referral.

Area of Science:

  • Ophthalmology
  • Anesthesiology

Background:

  • Peribulbar anesthesia is a common technique for ophthalmic procedures.
  • Recent literature suggested a potentially good prognosis for ocular perforation during this procedure.

Observation:

  • Six cases of ocular perforation after peribulbar anesthesia were reported over six weeks.
  • All patients required surgical intervention.
  • Most cases with associated retinal detachment had poor visual outcomes.

Findings:

  • Contrary to some reports, all cases in this series necessitated surgical intervention.
  • Retinal detachment significantly worsened the prognosis in patients experiencing ocular perforation.

Implications:

  • This study underscores the significant risks associated with peribulbar anesthesia.

Related Experiment Videos

  • Highlights the critical need for comprehensive, supervised training in peribulbar anesthesia administration.
  • Emphasizes the importance of prompt referral to a vitreoretinal unit in cases of suspected ocular perforation.