Optic neuropathy following retrobulbar injection: a review

Semin Ophthalmol. 2014 Sep-Nov;29(5-6):434-9. doi: 10.3109/08820538.2014.959191.

Abstract

A retrobulbar block is a regional anesthetic nerve block in the retrobulbar space. Optic neuropathy following retrobulbar injection is a well-recognized and rare complication of the procedure with an unknown incidence. This article reviews the relevant literature regarding vision loss following this procedure. Mechanisms of injury to the optic nerve as well as methods that can be employed to minimize the risk of optic neuropathy will be explored, including alternatives to retrobulbar anesthesia.

Keywords: Anesthetic complications; ocular anesthesia.

Publication types

  • Review

MeSH terms

  • Anesthesia, Local
  • Anesthetics, Local / administration & dosage
  • Anesthetics, Local / adverse effects
  • Autonomic Nerve Block / adverse effects*
  • Blindness / etiology*
  • Humans
  • Injections, Intraocular / adverse effects*
  • Ophthalmologic Surgical Procedures
  • Optic Nerve Diseases / etiology*

Substances

  • Anesthetics, Local