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
Ophthalmologyjournal_title
Ophthalmologyauthors
Cionni RJ,Osher RHdoi
10.1016/s0161-6420(91)32158-4subject
Has Abstractpub_date
1991-08-01 00:00:00pages
1153-5issue
8eissn
0161-6420issn
1549-4713pii
S0161-6420(91)32158-4journal_volume
98pub_type
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