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Arch Ophthalmol. 1998;116:380-381.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The incidence of globe perforation following peribulbar anesthesia is rare, occurring in 0.006% of the cases in a recent series.¹ The incidence of intraocular anesthetic injection is also rare; only 4 cases have been reported in the English-language literature.^2-3 We report a case of an intraocular injection of a combination of bupivacaine hydrochloride and mepivacaine hydrochloride following globe perforation during peribulbar anesthesia.

Report of a Case

A 53-year-old woman underwent phacoemulsification with placement of a posterior chamber intraocular lens for a cataract in the left eye. During the preoperative block, 2 peribulbar injections were given; the first infratemporally using 2 mL of anesthetic and the second supranasally using 1 mL of anesthetic. The anesthetic mixture contained 0.75% bupivacaine hydrochloride, 2% mepivacaine hydrochloride, and 150-U hyaluronidase. After the second injection, the patient noted to herself that vision in the eye immediately became no light perception. There was no pain. No complications were noted by the . . . [Full Text of this Article]

Comment
Corresponding author: Nancy M. Holekamp, MD, Barnes Retina Institute, One Barnes Hospital Plaza, Suite 17413, St Louis, MO 63110 (e-mail: nholekamp@pol.net).

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