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A review of retinal complications after globe penetration from peribulbar anesthesia

Joshua Lim, Shu Yen Lee, Andrew SH Tsai

Globe penetration from peribulbar anesthesia is a rare but sight threatening complication. Nevertheless, peribulbar anesthesia is an important adjunct to ophthalmic surgery and a skill which all ocular surgeons should be familiar with. We had previously reported a case of a late presenting rapidly progressing epiretinal membrane and localized retinal detachment following undetected globe penetration during initial cataract surgery. The patient was successfully managed with trans pars plana vitrectomy with epiretinal membrane peel and gas endotamponade. In this paper, we review the current literature on reported retinal complications following globe penetration during peribulbar anesthesia, and common management strategies.