CASE REPORT
Year : 2012  |  Volume : 6  |  Issue : 4  |  Page : 412-414

Periocular hematoma secondary to subperiosteal injury by a short needle


1 Department of Anesthesia, King Khaled Eye Specialists Hospital, Riyadh, Saudi Arabia
2 Department of Diagnostic Imaging, King Khaled Eye Specialists Hospital, Riyadh, Saudi Arabia

Correspondence Address:
Nauman Ahmad
Consultant Anesthesiologist, Department of Anesthesia, King Khaled Eye Specialists Hospital, P O Box 7191, Riyadh 11462
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.105891

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Bleeding and intraorbital hematoma is one of the most common complications of needle block for ophthalmic local anesthesia. We describe an unusual presentation of hematoma that originated in the subperiosteal space and extended to the subconjunctival and periocular area after a peribulbar block for phacoemulsification in a 55-year-old lady. It required an urgent surgical evacuation in order to reduce the intraocular pressure and save the eye. Detailed management to improve the outcome is discussed.


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