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Intraocular Anesthetic Following Peribulbar Anesthesia
Arch Ophthalmol. 1998;116:380-381.
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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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