The continuous-injection technique to reduce complications during retrobulbar anesthesia.

• Abstract: Retrobulbar as well as peribulbar anesthesia remain relatively risky procedures; retrobulbar hemorrhage and especially globe penetration or perforation can have blinding consequences. Our continuous-injection-technique greatly reduces these risks whether used for retrobulbar or peribulbar anesthesia. If the ophthalmologist starts injecting the agent while advancing the needle, the fluid pushes tissues away, possibly preventing a hemorrhage. Since resistance against the plunger is instantaneously experienced if the needle impacts the sclera, the ophthalmologist is adequately warned before actual perforation of the sclera occurs.
• Authors: F Kuhn, V Mester, A Berta (Affiliation: United States Eye Injury Registry, Birmingham, AL, USA.)
• Journal: Ophthalmic surgery and lasers (Ophthalmic Surg Lasers) Vol. 30 Issue 1 Pg. 67-8 (Jan 1999) ISSN: 1082-3069 [Print] UNITED STATES
• PMID: 9923499 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't, Review)

Chemical References

• Anesthetics, Local

Topics

• Anesthesia, Local (methods)
• Anesthetics, Local (administration & dosage)
• Eye Diseases (surgery)
• Humans
• Injections (methods)
• Intraoperative Complications (prevention & control)
• Needles
• Orbit
• Retrobulbar Hemorrhage (prevention & control)