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Contralateral vision loss and meningism after peribulbar anesthesia

Poster Details

First Author: M.Ustaoglu TURKEY

Co Author(s):    N. Solmaz   F. Onder           

Abstract Details

Purpose:

To report a case of contralateral amaurosis and meningism after peribulbar block.

Setting:

Department of Ophthalmology, Haseki Training and Research Hospital, Istanbul/ TURKEY

Methods:

Case Report

Results:

A 62-year old man underwent to cataract surgery with peribulbar anesthesia. After a successful surgery, he complained of contralateral blindness and meningeal irritation symptoms. The ophthalmic examination revealed bilateral vision loss with no light perception and dilated pupils. The orbit computerized tomography(CT) showed air bubbles within the ipsilateral optic nerve sheath, which is an evidence of perforation. The visual acuity and meningeal irritation symptoms improved spontaneously in three hours.

Conclusions:

Inadvertent optic nerve penetration is a very rare complication of peribulbar anesthesia. As far as we know, there is only one reported case without CT finding in literature. Our case is the first case of optic nerve sheet penetration demonstrated by orbit CT after peribulbar anesthesia.

Financial Disclosure:

NONE

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