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Year : 1999  |  Volume : 47  |  Issue : 3  |  Page : 181-183

Management of ocular perforations resulting from peribulbar anaesthesia

Department of Ophthalmology, Southport General Infirmary, UK

Correspondence Address:
P Puri
Department of Ophthalmology, Southport General Infirmary, UK

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Source of Support: None, Conflict of Interest: None

PMID: 10858774

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Purpose: To analyse the clinical presentation and outcome of treatment for globe perforation secondary to peribulbar anaesthesia. Methods: Eight patients (3 females and 5 males) aged 66-84 years were included in the study. Ocular perforations were suspected in 3 cases before or during surgery, in 4 cases diagnosis was established within one week and in one case at 3 weeks. Three patients underwent indirect argon laser photocoagulation to seal the retinal break, one patient had cryotherapy, 3 patients underwent a pars plana vitrectomy with fluid gas exchange and endolaser; and one patient refused any further treatment. Results: The final visual acuity after a mean follow up of 14 months was better than 6/9 in 2 patients, between 6/9-6/12 in 4 patients, and perception of light in 2 patients. Conclusion: If diagnosed early and treated adequately, a majority of patients with globe perforation during periocular anaesthetic could be saved

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