RETINAL DETACHMENT SECONDARY TO OCULAR PERFORATION DURING RETROBULBAR ANAESTHESIA

Retinal detachment secondary to ocular perforation during retrobulbar Anaesthesia

Retinal detachment secondary to ocular perforation during retrobulbar Anaesthesia

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The clinical characteristics and the retinal breaks associated with rhegmatogenous retinal detachments secondary to accidental globe perforation during local Wide Seat Recliner infiltration anaesthesia in five highly myopic eyes are presented.Retinal detachment was total with variable proliferative vitreoretinopathy.The pattern of retinal breaks was rather typical and predictable.

Management involved vitreous surgery with internal tamponade by silicone SEMI-SWEET CHOCOLATE CHIPS oil in four eyes and perfluoropropane gas in one eye.At the last follow-up, all eyes had attached retina.One eye did not recover useful vision due to possible concurrent optic nerve damage.

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