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International Ophthalmology
Published in: International Ophthalmology 3/2018

01-06-2018 | Case Report

Subconjunctival hemorrhage and vision loss after regional ocular anesthesia

Authors: Umesh Chandra Behera, Lapam Panda, Sumi Gupta, Rohit Ramesh Modi

Published in: International Ophthalmology | Issue 3/2018

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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.
Literature
1.
Brod RD (1989) Transient central retinal artery occlusion and contralateral amaurosis after retrobulbar anesthetic injection. Ophthalmic surg 20(9):643–646PubMed
2.
Sullivan KL, Brown GC, Forman AR, Sergott RC, Flanagan JC (1983) Retrobulbar anesthesia and retinal vascular obstruction. Ophthalmology 90(4):373–377CrossRefPubMed
3.
Bron AJ, Tripathi RC, Tripathi BJ (1997) The connective tissue septa of the orbit. In: Wolff’s anatomy of the eye and orbit, 8th edn. Chapman & Hall, London, p 147
4.
Kumar CM (2011) Needle based blocks for the 21st century ophthalmology. Acta Ophthalmol 89(1):5–9CrossRefPubMed
Metadata
Title
Subconjunctival hemorrhage and vision loss after regional ocular anesthesia
Authors
Umesh Chandra Behera
Lapam Panda
Sumi Gupta
Rohit Ramesh Modi
Publication date
01-06-2018
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 3/2018
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-017-0539-x

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