Retrobulbar hemorrhage.

Abstract:

:Retrobulbar hemorrhage associated with retrobulbar anesthesia has been construed as a contraindication to cataract surgery. Cancellation of the surgery results in disappointment for both the patient and surgeon. A retrospective study of 60 eyes was undertaken to evaluate the safety of proceeding with small-incision phacoemulsification surgery after retrobulbar hemorrhage when specific criteria are met. If digital massage achieved a soft globe that was easily retropulsed and the eyelids were loose and easily mobilized, the surgery was performed as scheduled. If the globe remained firm within a tense orbit and proptosis with tight lids was present, surgery was cancelled. Fifty-seven cases with retrobulbar hemorrhage met these criteria and underwent phacoemulsification with implantation of a posterior chamber intraocular lens. The lack of intraoperative and postoperative complications suggests that small-incision cataract surgery can be safely performed when preceded by a limited retrobulbar hemorrhage.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Cionni RJ,Osher RH

doi

10.1016/s0161-6420(91)32158-4

subject

Has Abstract

pub_date

1991-08-01 00:00:00

pages

1153-5

issue

8

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(91)32158-4

journal_volume

98

pub_type

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