OJOph  Vol.5 No.1 , February 2015
Exudative Retinal Detachment Associated with Complicated Retrobulbar Anesthesia
ABSTRACT
Retrobulbar anesthesia (block) is used for many ocular surgeries, whereas it is well known that this procedure has complications such as for retrobulbar hemorrhage, globe perforation, optic nerve injury and brain stem anesthesia. In this report, we present a unique case in the literature of isolated exudative retinal detachment (RD) secondary to iatrogenic retrobulbar hemorrhage. A 73-year-old woman underwent retrobulbar block for combined phaco-vitrectomy. Immediately after the injection, progressive proptosis was recognized. The globe was decompressed and she underwent combined phaco-vitrectomy after stabilization of the eye on the same day. At the be-ginning of the vitrectomy, a dome shaped serous RD was observed in the infero-temporal quadrant. Peripheral exploration was performed, whereas there was no retinal tear or hole. On the first day postoperatively, serous RD was disappeared. In conclusion, this report suggests that increased intraorbital pressure secondary to iatrogenic retrobulbar hemorrhage might lead exudative RD.

Cite this paper
Yaylalı, V. , Toprak, I. (2015) Exudative Retinal Detachment Associated with Complicated Retrobulbar Anesthesia. Open Journal of Ophthalmology, 5, 6-9. doi: 10.4236/ojoph.2015.51002.
References
[1]   Jaichandran, V. (2013) Ophthalmic Regional Anaesthesia: A Review and Update. Indian Journal of Anaesthesia, 3, 7-13.
http://dx.doi.org/10.4103/0019-5049.108552

[2]   Mieler, W.F., Bennett, S.R., Platt, L.W. and Koenig, S.B. (1990) Localized Retinal Detachment with Combined Central Retinal Artery and Vein Occlusion after Retrobulbar Anesthesia. Retina, 10, 278-283.
http://dx.doi.org/10.1097/00006982-199010000-00010

[3]   Tappeiner, C. and Garweg, J.G. (2011) Retinal Vascular Occlusion after Vitrectomy with Retrobulbar Anesthesia-Observational Case Series and Survey of Literature. Graefe’s Archive for Clinical and Experimental Ophthalmology, 249, 1831-1815.
http://dx.doi.org/10.1007/s00417-011-1783-9

[4]   Gross, A. and Cestari, D.M. (2014) Optic Neuropathy Following Retrobulbar Injection: A Review. Seminars in Ophthalmology, 29, 434-439.
http://dx.doi.org/10.3109/08820538.2014.959191

[5]   Naik, A.A., Agrawal, S.A., Navadiya, I.D. and Ramchandani, S.J. (2014) Management of Macular Epiretinal Membrane Secondary to Accidental Globe Perforation during Retrobulbar Anesthesia. Indian Journal of Ophthalmology, 62, 94-95.

[6]   Spire, M., Fleury, J., Kodjikian, L. and Grange, J.D. (2007) Retinal Detachment Caused by Ocular Perforation during Periocular Anesthesia: Three Case Reports. Journal Francais d’Ophtalmologie, 30, e16.

[7]   Aranda Calleja, M.A., Martínez Pueyo, A., Bellido Cuellar, S. and García Ruiz, P. (2011) III Cranial Nerve Palsy and Brainstem Disfunction Following Retrobulbar Anaesthesia. Neurologia, 26, 563-564.
http://dx.doi.org/10.1016/j.nrl.2011.04.013

[8]   Mameletzi, E., Pournaras, J.A., Ambresin, A. and Nguyen, C. (2008) Retinal Embolisation with Localised Retinal Detachment Following Retrobulbar Anaesthesia. Klinische Monatsblätter für Augenheilkunde, 225, 476-478.
http://dx.doi.org/10.1055/s-2008-1027268

[9]   Krohn, J. and Seland, J.H. (1998) Exudative Retinal Detachment in Nanophthalmos. Acta Ophthalmologica Scandinavica, 76, 499-502.
http://dx.doi.org/10.1034/j.1600-0420.1998.760421.x

[10]   Takahashi, K. and Kishi, S. (2000) Remodeling of Choroidal Venous Drainage after Vortex Vein Occlusion Following Scleral Buckling for Retinal Detachment. American Journal of Ophthalmology, 129, 191-198.
http://dx.doi.org/10.1016/S0002-9394(99)00425-0

 
 
Top