Globe perforation, deep orbital tissue damage, and subsequent periorbital edema have been reported during retrobulbar anesthesia
A healthy 69-year-old female presented to the Emergency Department with sudden, painless, visual loss that started immediately following cataract surgery with retrobulbar anesthesia
in the left eye (OS) nine days prior to presentation.
Serjeant, "Central retinal artery occlusion without retrobulbar hemorrhage after retrobulbar anesthesia
," American Journal of Ophthalmology, vol.
However, its prevalence may be on the decline because traditional retrobulbar anesthesia
has now been largely superseded by less invasive peribulbar techniques.
A successful case of trabeculectomy without adjunctive antimetabolites performed with retrobulbar anesthesia
has been reported in a pregnant patient.
(1.) Davis DB II, Mandel MR: Posterior peribulbar anesthesia: An alternative to retrobulbar anesthesia
. J Cat Refract Surg 12:182, 1986.
Efficacy and safety of hyaluronidase 75 IU as an adjuvant to mepivacaine for retrobulbar anesthesia
in cataract surgery.
In this patient, symptoms began immediately following cataract surgery with retrobulbar anesthesia
. OCT-A demonstrates profound decreased vascular flow signal in the superficial and deep retinal plexuses but relatively normal vascular flow signal in the choriocapillaris and choroid.
(10) Despite all of these advantages, injection anesthesia methods such as peribulbar anesthesia, sub-Tenon's block, and especially retrobulbar anesthesia
can also lead to several complications.
It allows rapid visual rehabilitation, causes less patient anxiety, and provides sufficient anesthesia while reducing the risk of serious complications such as globe perforation and retrobulbar hemorrhage associated with retrobulbar anesthesia
Immediate visual capability after cataract surgery: Topical versus retrobulbar anesthesia
. J Cataract Refract Surg.
A comparative study of topical vs retrobulbar anesthesia
in complicated cataract surgery.