Quraish Ghadiali1,2, Larissa K Ghadiali3, William M Schiff2, Jeffrey G Odel3. 1. Vitreous Retina Macula Consultants of New York, New York, New York. 2. Department of Ophthalmology, Manhattan Eye, Ear and Throat Hospital, New York, New York. 3. Department of Ophthalmology, Columbia University, New York, New York.
Abstract
PURPOSE: To report a case series of two patients with contralateral anesthesia after retrobulbar block. METHODS: Retrospective review of two cases and review of the literature. RESULTS: Two patients of one practitioner received contralateral anesthesia after retrobulbar block for posterior segment surgery. Patient 1 suffered from transient contralateral akinesia, whereas Patient 2 experienced transient contralateral amaurosis. CONCLUSION: Posterior spread of anesthetics is a rare but potentially serious complication of retrobulbar anesthesia caused by spread of anesthetics along the optic nerve sheath. Modification of injection technique can decrease the risk of this complication.
PURPOSE: To report a case series of two patients with contralateral anesthesia after retrobulbar block. METHODS: Retrospective review of two cases and review of the literature. RESULTS: Two patients of one practitioner received contralateral anesthesia after retrobulbar block for posterior segment surgery. Patient 1 suffered from transient contralateral akinesia, whereas Patient 2 experienced transient contralateral amaurosis. CONCLUSION: Posterior spread of anesthetics is a rare but potentially serious complication of retrobulbar anesthesia caused by spread of anesthetics along the optic nerve sheath. Modification of injection technique can decrease the risk of this complication.
Authors: Hanneke Hermans; Ralph A Lloyd-Edwards; Aukje J H Ferrão-van Sommeren; Anne A Tersmette; Jacobine C M Schouten; Filipe M Serra Bragança; Johannes P A M van Loon Journal: Animals (Basel) Date: 2022-01-09 Impact factor: 2.752