A case of globe explosion after peribulbar anesthetic injection

The ocular explosion is a very rare but serious complication of peribulbar anesthetic injection with only a few reports in the literature. A 360 Degrees dialysis of the retina due to a globe explosion after the peribulbar injection has been reported only in one case. We are reporting the complication of 360 d dialysis of the retina with the incarceration of the detached retina in the scleral wound after periocular injection of anesthetic for cataract surgery. Management and results of the case are reported here.

[1]  N. Goel.  Displacement of crystalline lens into the sub-conjunctival space following periocular anesthesia , 2018, Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society.

[2]  Richard M.H. Lee,et al.  Severe adverse events associated with local anaesthesia in cataract surgery: 1 year national survey of practice and complications in the UK , 2015, British Journal of Ophthalmology.

[3]  A. Sharma,et al.  Ocular explosion after peribulbar anesthesia. , 2002, Journal of cataract and refractive surgery.

[4]  T. Williamson,et al.  Ocular explosions from periocular anesthetic injections. , 2000, Ophthalmology (Rochester, Minn.).

[5]  W R Green,et al.  Ocular explosion after peribulbar anesthesia: case report and experimental study. , 1997, Ophthalmology.

[6]  A. Rubin.  Complications of local anaesthesia for ophthalmic surgery. , 1995, British journal of anaesthesia.

[7]  A. Chignell,et al.  Perforation of the globe--a complication of peribulbar anaesthesia. , 1991, The British journal of ophthalmology.

[8]  M. Mandel,et al.  Posterior peribulbar anesthesia: An alternative to retrobulbar anesthesia , 1986, Journal of cataract and refractive surgery.

[9]  W R Green,et al.  Ocular explosion during cataract surgery: a clinical, histopathological, experimental, and biophysical study. , 1998, Transactions of the American Ophthalmological Society.