Globe Perforation Associated With Subtenon's Anesthesia
American Journal of Ophthalmology
Purpose: To report a case of globe perforation while initiating posterior subtenon's anesthesia.
Methods: Case report. A 40-year-old man with a history of retinal detachment in both eyes presented for repair of a second retinal detachment in the LE.
Results: Upon dissecting a space beneath the Tenon capsule with scissors, the globe was perforated.
Conclusion: In patients with prior ophthalmologic surgery, thinned sclera, or excess scar tissue, increased caution should be employed during initiation of sub-Tenon anesthesia or an alternative method should be used.
Frieman BJ, Friedberg MA. Globe Perforation Associated With Subtenon's Anesthesia. American Journal of Ophthalmology. 2001; 131(4). doi: 10.1016/s0002-9394(00)00815-1.