Umesh Chandra Behera1, Lapam Panda2, Sumi Gupta3, Rohit Ramesh Modi2. 1. L V Prasad Eye Institute, Patia, Bhubaneswar, Odisha, 751024, India. umeshcbehera@gmail.com. 2. L V Prasad Eye Institute, Patia, Bhubaneswar, Odisha, 751024, India. 3. Srikrishna Eye Institute, N-71 Shivalik Nagar, Haridwar, Uttarakhand, 249403, India.
Abstract
PURPOSE: To report two cases of retinal vascular occlusion and associated subconjunctival hemorrhage in needle optic nerve injury during local bulbar anesthesia. METHODS: Surgical records of these two subjects who presented with acute vision loss after cataract extraction were studied, and systemic workup and ocular imaging were carried out to establish the cause. RESULTS: Computerized tomography showed evidence of optic nerve injury. CONCLUSION: Subconjunctival hemorrhage could be an associated clinical finding in hypodermic needle injury-related retinal vascular occlusion during ocular anesthesia.
PURPOSE: To report two cases of retinal vascular occlusion and associated subconjunctival hemorrhage in needle optic nerve injury during local bulbar anesthesia. METHODS: Surgical records of these two subjects who presented with acute vision loss after cataract extraction were studied, and systemic workup and ocular imaging were carried out to establish the cause. RESULTS: Computerized tomography showed evidence of optic nerve injury. CONCLUSION: Subconjunctival hemorrhage could be an associated clinical finding in hypodermic needle injury-related retinal vascular occlusion during ocular anesthesia.
Entities:
Keywords:
Central retinal artery occlusion; Central retinal vein occlusion; Peribulbar anesthesia; Retrobulbar anesthesia; Subconjunctival hemorrhage
Authors: Alba Gómez-Benlloch; Maximiliano Olivera; Jeroni Nadal; Gemma Julio; Javier Elizalde Journal: Int J Ophthalmol Date: 2022-10-18 Impact factor: 1.645