Retinal detachment secondary to ocular perforation during retrobulbar anaesthesia

Indian J Ophthalmol. 1995 Mar;43(1):13-5.


The clinical characteristics and the retinal breaks associated with rhegmatogenous retinal detachments secondary to accidental globe perforation during local 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 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.

MeSH terms

  • Anesthesia, Local / adverse effects*
  • Cataract Extraction
  • Eye Injuries, Penetrating / complications*
  • Eye Injuries, Penetrating / surgery
  • Humans
  • Lenses, Intraocular
  • Needlestick Injuries / complications
  • Needlestick Injuries / surgery
  • Orbit
  • Retina / injuries*
  • Retina / surgery
  • Retinal Detachment / etiology*
  • Retinal Detachment / surgery
  • Scleral Buckling
  • Vitrectomy