Delhi Journal of Ophthalmology

Complications of Peribulbar Block in the Sitting Posture - An Exploratory Study

Venigalla Madhuri, Fathima Anees, Potti Sudhakar, Mashru Nandish
Sankara Eye Hospital, Pedakakani, Guntur, Andhra Pradesh, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Madhuri Venigalla 
MS, DNB
Sankara Eye Hospital, 
Pedakakani, Guntur - 522509, 
Andhra Pradesh, India
Email id: madhurisivaram@gmail.com


Published Online: 01-NOV-2018
DOI: http://dx.doi.org/10.7869/djo.393

Abstract
Purpose: To review the complications of peribulbar block (PBB) in sitting posture of the patient.
Methods: Retrospective analysis of complications in 211 patients who had been given PBB in sitting posture during 1 year period between April 2015 till June 2016 at a tertiary care hospital (Sankara eye hospital), Guntur was done. These included orbital regional anaesthesia for cataract, trabeculectomy, retinal detachment, other vitreoretinal surgeries etc, both in paying OT and non-paying (camp) OT. 
Results: Out of 43,200 patients operated in a year at Sankara eye hospital, Guntur who received PBB in sitting posture, 211 patients (0.48%) had block related complications; bradycardia-77 (0.17%) patients; syncope-46 (0.11%); periorbital haematoma-37 (0.08%); retrobulbar hemorrhage-21 (0.05%); Xylocaine hypersensitivity-16 (0.04%); globe perforation-8 (0.02%); wrong eye block-6 (0.01%). All the above were treated and sufficient preventive measures were taken accordingly. 
Conclusion: Ophthalmologists must be prepared to deal with rare but serious complications that can occur with orbital regional anaesthesia.

Keywords :Peribulbar block, Regional anaesthesia, Complications