CONTRALATERAL ANESTHESIA IN TWO PATIENTS AFTER RETROBULBAR BLOCK.

Quraish Ghadiali, Larissa K Ghadiali, William M Schiff, Jeffrey G Odel

Retinal Cases & Brief Reports 2018 April

PURPOSE: To report a case series of two patients with contralateral anesthesia after retrobulbar block.

METHODS: Retrospective review of two cases and review of the literature.

RESULTS: Two patients of one practitioner received contralateral anesthesia after retrobulbar block for posterior segment surgery. Patient 1 suffered from transient contralateral akinesia, whereas Patient 2 experienced transient contralateral amaurosis.

CONCLUSION: Posterior spread of anesthetics is a rare but potentially serious complication of retrobulbar anesthesia caused by spread of anesthetics along the optic nerve sheath. Modification of injection technique can decrease the risk of this complication.

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