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http://dx.doi.org/10.3344/kjp.2009.22.3.241

Retrobulbar Hematoma after Infraorbital Nerve Block in Trigeminal Neuralgia -A case report-  

Park, Jong Taek (Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine)
Kim, Ye Won (Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine)
Jeong, Eui Kyun (Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine)
Lee, Young Bok (Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine)
Publication Information
The Korean Journal of Pain / v.22, no.3, 2009 , pp. 241-244 More about this Journal
Abstract
Retrobulbar hematoma can arise from orbital trauma and periorbital or intraorbital procedures, and it can result in several morbidities including vision loss. Making the immediate diagnosis and performing decompression of the retrobulbar hematoma are crucial for preventing serious morbidities such as permanent vision loss. We present here a case of temporary vision loss that was due to iatrogenic retrobulbar hematoma in a patient who received infraorbital nerve block for the treatment of trigeminal neuralgia. A 70-year-old woman with trigeminal neuralgia was treated with infraorbital nerve block. Just after the procedure she experienced acute periorbital swelling, proptosis and worsening visual acuity. Immediate orbital computed tomography was done, and this revealed a retrobulbar hematoma. The patient underwent lateral canthotomy with cantholysis and administration of dexamethasone and mannitol. Improvement of visual acuity began 3 hours after these procedures. Her visual acuity was greatly improved 12 days after admission.
Keywords
infraorbital nerve block; retrobulbar hematoma;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Machado RA, Silveira RL, Borges HO, Filho AM, de Oliveira MG: Retrobulbar hemorrhage: a case report. J Contemp Dent Pract 2006; 7: 130-6   PUBMED
2 Chen CH, Chen CT, Huang F: Retrobulbar hematoma as a rare complication after secondary correction of enophthalmos. J Craniofac Surg 2009; 20: 963-7   DOI   ScienceOn
3 Teng CC, Reddy S, Wong JJ, Lisman RD: Retrobulbar hemorrhage nine days after cosmetic blepharoplasty resulting in permanent visual loss. Ophthal Plast Reconstr Surg 2006; 22: 388-9   DOI   ScienceOn
4 Han JK, Caughey RJ, Gross CW, Newman S: Management of retrobulbar hematoma. Am J Rhinol 2008; 22: 522-4   DOI   ScienceOn
5 Winterton JV, Patel K, Mizen KD: Review of management options for a retrobulbar hemorrhage. J Oral Maxillofac Surg 2007; 65: 296-9   DOI   ScienceOn
6 Kwon JH, Song YJ, Choi SS, Kim KU: Spontaneous intraorbital hemorrhage: a case report. J Korean Neurosurg Soc 2008; 44: 156-8   DOI   ScienceOn
7 Chung CK, Lee KM, Kim C: Infraorbital nerve block with pure ethyl alcohol for treatment of trigeminal neuralgia. Korean J Pain 1992; 5: 76-9
8 Lee KH, Yoon DM: A severe retropharyngeal hematoma after stellate ganglion block: a case report. Korean J Pain 2008; 21: 62-5   DOI   ScienceOn
9 Lee KY, Tow S, Fong KS: Visual recovery following emergent orbital decompression in traumatic retrobulbar haemorrhage. Ann Acad Med Singapore 2006; 35: 831-2   PUBMED
10 McInnes G, Howes DW: Lateral canthotomy and cantholysis: a simple, vision-saving procedure. CJEM 2002; 4: 49-52