Contralateral anaesthesia following peribulbar block- Unveiling a rare ocular complication

Author:

Farooq Shaheen1,Goyal Vivek1,Jakhar Ankita1,Kochar Anju1

Affiliation:

1. Department of Ophthalmology, Sardar Patel Medical College and Hospital, Bikaner, Rajasthan, India

Abstract

Peribulbar anesthesia is a common regional block in intraocular surgeries with an excellent safety profile. We report a rare case of contralateral loss of accommodation and extraocular muscle palsy following peribulbar block (PBB). A patient with right-eye pterygium was planned for pterygium excision with conjunctival autograft under PBB. After PBB, the patient developed blurring of vision and loss of extraocular muscle movements in the contralateral eye. Contrast-enhanced computed tomography scan of the brain and orbit was unremarkable. The patient was stabilized, and surgery was deferred. The patient’s vision and extraocular movements returned spontaneously after 4–5 hours.

Publisher

Medknow

Reference9 articles.

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2. Contralateral amaurosis and extraocular muscle palsies after retrobulbar injection;Chinchurreta-Capote;Arch Soc Esp Oftalmol,2006

3. Vision loss and partial third nerve palsy following contralateral peribulbar anesthesia;Krilis;J Cataract Refract Surg,2013

4. Bilateral amaurosis following unilateral retrobulbar block;Follette;Anesthesiology,1985

5. Contralateral decreased visual acuity and extraocular muscle palsies following retrobulbar anesthesia;Antoszyk;Ophthalmology,1986

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