Ocular complications of perioperative anesthesia: a review

Singh, Rohan; Khera, Tanvi; Ly, Victoria; Saini, Chhavi; Cho, Wonkyung; Shergill, Sukhman; Singh, Kanwar Partap; Agarwal, Aniruddha

doi:10.1007/s00417-021-05119-x

Cited by 10 publications

(16 citation statements)

References 182 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our centre, all the anesthesiologists have had at least 10y of clinical expertise in ophthalmic retrobulbar anaesthetic procedures. In despite of this, as in other published studies, globe penetration after peribulbar anaesthetic procedure could occurred with trained and experienced personnel [9] . Some authors describe that ultrasound guidance can be used to conduct locoregional anesthesia.…”

Section: Discussionmentioning

confidence: 73%

“…The majority of eye surgeries are performed under regional anesthesia. This type of anesthesia includes different sub-types, such as topical anesthesia [13][14][15] , subconjunctival anesthesia [16][17][18] , retrobulbar anesthesia, peribulbar anesthesia, sub-Tenon's anesthesia [9,[19][20] , medial canthus epiescleral anesthesia [21] and facial nerve block. Topical anesthesia has become a common form of anesthesia; however, it requires that the surgery is performed quickly and efficiently to minimize stress on the patients [22] , patient cooperation [23] , experienced surgeon [10] and it doesn't provide the same level of pain relief as peribulbar anesteshia [24][25] .…”

Section: Discussionmentioning

confidence: 99%

“…To avoid the necessity for general anesthesia in ocular surgery, blockage of the optic nerve using needle-based blocks is widely implemented to achieve akinesia and analgesia. Complications of the procedure (e.g., haemorrhage [4] , iatrogenic injection of the local anaesthetic into the opticnerve sheath [5] , penetration of the ocular glove [6] , amaurosis [7] , iatrogenic ophthalmic artery occlusion [8][9] or brainstem anaesthesia [10] ) are rare. Although these complications may be avoided with topical administration, loco-regional anesthesia is preferred in procedures requiring both akinesia and deep anesthesia.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Globe penetration during loco-regional anesthesia: prevalence and review of cases

Gómez-Benlloch¹,

Nadal²,

Julio³

et al. 2022

Int J Ophthalmol

View full text Add to dashboard Cite

AIM: To describe prevalence and different clinical signs and management of cases with penetrating eye injuries during loco-regional anesthesia for ophthalmic surgery. METHODS: A retrospective review of clinical records was carried out, identifying cases of globe penetration secondary to peribulbar anesthesia injection during 5y activity in Centro de Oftalmología Barraquer. RESULTS: A total of 17 460 needle-based ocular anesthesia procedures were performed in our centre and 4 cases of globe penetration were recorded with an estimated prevalence of 0.024%. Globe penetrations were always detected in the first 24h after surgery. Vitreous haemorrhage was found in all the cases. Two eyes presented retinal detachment and two eyes choroidal detachment (CD). The initial surgical approach was performed within the first 48h. Silicone oil was used as tamponade in three eyes and the fourth case remained only with air. Detachments were solved successfully in all the cases. Functional results varied among cases, depending on ocular remarkable antecedent and globe penetration with or without retinal or CD. CONCLUSION: Prevalence of globe penetration during loco-regional anesthesia is low in our centre. Physicians should consider the possibility of globe penetration in eyes with postoperative atypical appearance after loco-regional anesthesia. Immediate B-scan ultrasonography is recommended in suspicious cases with a dense vitreous haemorrhage. An early vitrectomy surgery in conjunction with laser or cryotherapy at the penetration sites is essential for good anatomical and functional results.

show abstract

Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Globe penetration during loco-regional anesthesia: prevalence and review of cases

Gómez-Benlloch¹,

Nadal²,

Julio³

et al. 2022

Int J Ophthalmol

View full text Add to dashboard Cite

show abstract

Section: Corneamentioning

confidence: 99%

“…Blurry vision can also occur. 19 Insufficient closure of the eyelid and/or insufficient tear production, and inadvertent contact with the eye by the patient or provider (e.g., a finger upon awakening, or hanging name tag, respectively), are the most common causes. 16,17 Pain control and follow-up with an eye provider for monitoring of proper healing and prevention of infection are the focus of treatment.…”

Section: Epidemiologymentioning

confidence: 99%

Perioperative Care of the Patient with Eye Pathologies Undergoing Nonocular Surgery

et al. 2022

View full text Add to dashboard Cite

The authors reviewed perioperative ocular complications and implications of ocular diseases during nonocular surgeries. Exposure keratopathy, the most common perioperative eye injury, is preventable. Ischemic optic neuropathy, the leading cause of perioperative blindness, has well-defined risk factors. The incidence of ischemic optic neuropathy after spine fusion, but not cardiac surgery, has been decreasing. Central retinal artery occlusion during spine fusion surgery can be prevented by protecting eyes from compression. Perioperative acute angle closure glaucoma is a vision-threatening emergency that can be successfully treated by rapid reduction of elevated intraocular pressure. Differential diagnoses of visual dysfunction in the perioperative period and treatments are detailed. Although glaucoma is increasingly prevalent and often questions arise concerning perioperative anesthetic management, evidence-based recommendations to guide safe anesthesia care in patients with glaucoma are currently lacking. Patients with low vision present challenges to the anesthesia provider that are becoming more common as the population ages.

show abstract