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. 1994 Jan;78(1):41–43. doi: 10.1136/bjo.78.1.41

Visual acuity and pupillary reactions after peribulbar anaesthesia.

S J Talks 1, N H Chong 1, J M Gibson 1, I R Francis 1
PMCID: PMC504689  PMID: 8110698

Abstract

The effect of peribulbar anaesthesia on optic nerve function in 20 patients, before and after cataract surgery, was measured. All the patients had decreased visual acuity. Five (25%) had no perception of light. Seventeen (85%) developed a relative afferent pupil defect (RAPD). No patients saw the operating instruments. Seven (35%) had improved visual acuity immediately postoperatively. Patients should be warned that they may lose vision completely on being given a peribulbar anaesthetic; however their vision will improve, but not necessarily immediately, postoperatively. Examination for an RAPD is a good method of providing reassurance that the operating instruments will not be seen.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brent B. D., Singh H. The effect of retrobulbar anesthesia on visual acuity in planned extracapsular cataract extraction. Ophthalmic Surg. 1991 Jul;22(7):392–395. [PubMed] [Google Scholar]
  2. Davis D. B., 2nd, Mandel M. R. Posterior peribulbar anesthesia: an alternative to retrobulbar anesthesia. J Cataract Refract Surg. 1986 Mar;12(2):182–184. doi: 10.1016/s0886-3350(86)80040-2. [DOI] [PubMed] [Google Scholar]
  3. Hamilton R. C., Gimbel H. V., Strunin L. Regional anaesthesia for 12,000 cataract extraction and intraocular lens implantation procedures. Can J Anaesth. 1988 Nov;35(6):615–623. doi: 10.1007/BF03020350. [DOI] [PubMed] [Google Scholar]
  4. House P. H., Hollands R. H., Schulzer M. Choice of anesthetic agents for peribulbar anesthesia. J Cataract Refract Surg. 1991 Jan;17(1):80–83. doi: 10.1016/s0886-3350(13)80989-3. [DOI] [PubMed] [Google Scholar]
  5. Levin M. L., O'Connor P. S. Visual acuity after retrobulbar anesthesia. Ann Ophthalmol. 1989 Sep;21(9):337–339. [PubMed] [Google Scholar]
  6. Murdoch I. E. Peribulbar versus retrobulbar anaesthesia. Eye (Lond) 1990;4(Pt 3):445–449. doi: 10.1038/eye.1990.56. [DOI] [PubMed] [Google Scholar]
  7. Pautler S. E., Grizzard W. S., Thompson L. N., Wing G. L. Blindness from retrobulbar injection into the optic nerve. Ophthalmic Surg. 1986 Jun;17(6):334–337. [PubMed] [Google Scholar]
  8. Ramsay R. C., Knobloch W. H. Ocular perforation following retrobulbar anesthesia for retinal detachment surgery. Am J Ophthalmol. 1978 Jul;86(1):61–64. doi: 10.1016/0002-9394(78)90016-8. [DOI] [PubMed] [Google Scholar]
  9. Ropo A., Nikki P., Ruusuvaara P., Kivisaari L. Comparison of retrobulbar and periocular injections of lignocaine by computerised tomography. Br J Ophthalmol. 1991 Jul;75(7):417–420. doi: 10.1136/bjo.75.7.417. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Ropo A., Ruusuvaara P., Paloheimo M., Maunuksela E. L., Nikki P. Periocular anaesthesia: technique, effectiveness and complications with special reference to postoperative ptosis. Acta Ophthalmol (Copenh) 1990 Dec;68(6):728–732. doi: 10.1111/j.1755-3768.1990.tb01703.x. [DOI] [PubMed] [Google Scholar]
  11. Ropo A., Ruusuvaara P., Setälä K. Visual evoked potentials after retrobulbar or periocular anaesthesia. Br J Ophthalmol. 1992 Sep;76(9):541–544. doi: 10.1136/bjo.76.9.541. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Verma L., Arora R., Kumar A. Temporary conduction block of optic nerve after retrobulbar anesthesia. Ophthalmic Surg. 1990 Feb;21(2):109–112. [PubMed] [Google Scholar]
  13. Weiss J. L., Deichman C. B. A comparison of retrobulbar and periocular anesthesia for cataract surgery. Arch Ophthalmol. 1989 Jan;107(1):96–98. doi: 10.1001/archopht.1989.01070010098035. [DOI] [PubMed] [Google Scholar]

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