Journal article
Vision loss after inadvertent corneal perforation during lid anesthesia
Ophthalmic plastic and reconstructive surgery, Vol.27(5), pp.e141-e142
09/2011
DOI: 10.1097/IOP.0b013e31822d5d6d
PMID: 21904171
Abstract
A 68-year-old woman was referred for glaucoma management after inadvertent corneal perforation during eyelid anesthesia for upper eyelid blepharoplasty. A mixture of 50:50 2% lidocaine with 1:100,000 epinephrine and 0.5% bupivacaine buffered with sodium bicarbonate was injected intracamerally. Decreased vision and uncontrollable intraocular pressure resulted, despite prompt anterior chamber washout. Examination showed corneal edema, inflammation, and secondary angle closure. Intraocular pressure control with seton placement led to an improvement in vision; however, mild corneal haze remained, and specular microscopy showed endothelial cell loss, presumably secondary to local anesthetic toxicity. Inadvertent ocular penetration is a rare but serious complication of local eyelid anesthesia. Prompt recognition is essential to institute appropriate management and minimize subsequent vision loss.
Details
- Title: Subtitle
- Vision loss after inadvertent corneal perforation during lid anesthesia
- Creators
- Mansi Parikh - Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinics, Iowa City, IA, USAYoung H Kwon
- Resource Type
- Journal article
- Publication Details
- Ophthalmic plastic and reconstructive surgery, Vol.27(5), pp.e141-e142
- Publisher
- United States
- DOI
- 10.1097/IOP.0b013e31822d5d6d
- PMID
- 21904171
- ISSN
- 0740-9303
- eISSN
- 1537-2677
- Language
- English
- Date published
- 09/2011
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9983980069302771
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