The incidence of complications associated with retrobulbar injection of anaesthetic for ophthalmic surgery

Ruben, Simon

doi:10.1111/j.1755-3768.1992.tb04897.x

Cited by 25 publications

(5 citation statements)

References 17 publications

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“…The risk for a retrobulbar hemorrhage after retrobulbar injection is much higher than that for a perforation; the reported hemorrhage rate is between 0.4% and 1.7%. [19][20][21] When sharp needles are used, the risk can increase to 5.0%. 22 Using a cannula longer than 40.0 mm can cause a direct lesion of the optic nerve, as Unsö ld et al 3 found using computed tomography reconstructions.…”

Section: Discussionmentioning

confidence: 98%

Risks and sequelae of scleral perforation during peribulbar or retrobulbar anesthesia

Schrader¹,

Schargus²,

Schneider³

et al. 2010

Journal of Cataract and Refractive Surgery

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Although perforation is a rare complication of peribulbar anesthesia in normal eyes, the severity of complications in this study point to the importance of giving all patients, not only those with risk factors (eg, myopia, scar formation), detailed information about the possible risks and complications of peribulbar injections compared with those of other methods such as topical anesthesia and general anesthesia.

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Section: Discussionmentioning

confidence: 98%

Risks and sequelae of scleral perforation during peribulbar or retrobulbar anesthesia

Schrader¹,

Schargus²,

Schneider³

et al. 2010

Journal of Cataract and Refractive Surgery

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“…Jedná se o tradiční subspecializaci oftalmologie, jejíž kořeny sahají až do starověku, první literární zmínku ale nalézáme až roku 1925 v učebnici E. Spaetha [1]. V roce 1969 byla tato subspecializace konečně formálně definována vznikem Americké společnosti oční plas-tické a rekonstrukční chirurgie [2]. Péče o oční traumata je pak nedílnou a důležitou součástí této odbornosti.…”

Section: úVodunclassified

Trauma in Oculoplastic Surgery A Review

Kopecký

Němčanský

2020

CSO

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The aim of this article is to present the basics of traumatology in oculoplastic surgery and to review the literature about this topic. This review sums up the problematic of injuries of the eyelid, lacrimal system and orbit. The most important types of trauma, their treatment options, and the most common complications are described. In majority of oculoplastic traumas, surgical reconstruction is the treatment of choice. The surgery is often performer immediately, but sometimes the reconstruction of eyelid and lacrimal injuries can be postponed up to 48 hours, if the immediate surgery is not possible. Although the recommendations from the literature on this topic are variable, most of the patients require at least local antibiotics, more complex traumas systemic antibiotics. Careful diagnostics and correctly performed surgical treatment, either only by ophthalmologist, or oculoplastic surgeon, or a multi-disciplinary team for more complex injuries, are the key to good functional and aesthetic results of the reconstruction.

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“…[32][33][34][35] The risk of vision-threatening hemorrhage in association with peribulbar and retrobulbar anesthesia has been examined in multiple studies and more contemporary data suggest that this is rare, even with continued antithrombotic treatment. [32][33][34][35] The risk of vision-threatening hemorrhage in association with peribulbar and retrobulbar anesthesia has been examined in multiple studies and more contemporary data suggest that this is rare, even with continued antithrombotic treatment.…”

Section: Risk Of Hemorrhage With Local Anesthesiamentioning

confidence: 99%