Int Ophthalmol (2018) 38:1309–1312 https://doi.org/10.1007/s10792-017-0539-x CASE REPORT Subconjunctival hemorrhage and vision loss after regional ocular anesthesia . . . Umesh Chandra Behera Lapam Panda Sumi Gupta Rohit Ramesh Modi Received: 16 October 2016 / Accepted: 17 April 2017 / Published online: 22 April 2017 Springer Science+Business Media Dordrecht 2017 Abstract Keywords Central retinal artery occlusion Central Purpose To report two cases of retinal vascular retinal vein occlusion Retrobulbar anesthesia occlusion and associated subconjunctival hemorrhage Peribulbar anesthesia 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 extrac- Introduction tion were studied, and systemic workup and ocular imaging were carried out to establish the cause. Retrobulbar and peribulbar anesthesia carry a rare risk Results Computerized tomography showed evi- of injury to optic nerve and adjacent vascular struc- dence of optic nerve injury. tures. We present two subjects with severe vision loss Conclusion Subconjunctival hemorrhage could be after uneventful cataract extraction who presented an associated clinical ﬁnding in hypodermic needle with subconjunctival hemorrhage and retinal vascular injury-related retinal vascular occlusion during ocular occlusion. anesthesia. Materials and methods Case 1 A 62-year-old gentleman
International Ophthalmology – Springer Journals
Published: Apr 22, 2017
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