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BRIEF COMMUNICATION
Year : 2016  |  Volume : 64  |  Issue : 2  |  Page : 160-162

Hyaluronidase hypersensitivity: A rare complication of peribulbar block


Department of Ophthalmology, Mahatma Gandhi Medical College and Research Institute, Puducherry, India

Correspondence Address:
A R Rajalakshmi
Department of Ophthalmology, Mahatma Gandhi Medical College and Research Institute, Puducherry - 607 402
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.179717

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Peribulbar block, though safe, can cause serious complications such as globe perforation and peribulbar hemorrhage. Hyaluronidase is an enzyme that is used as an adjuvant in peribulbar anesthesia, and it helps in rapid penetration of the anesthetic agent. Hypersensitivity to hyaluronidase is a rare but potentially sight-threatening complication. We report a case of hyaluronidase hypersensitivity following peribulbar injection for cataract surgery mimicking as peribulbar hematoma in the immediate postinjection phase and as orbital cellulitis 48 h later.


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