[Orbital abscess after peribulbar anesthesia in a frontoethmoidal mucocele]

Arch Soc Esp Oftalmol. 2014 Jun;89(6):229-31. doi: 10.1016/j.oftal.2013.02.009. Epub 2013 May 31.
[Article in Spanish]

Abstract

Clinic case: Peribulbar anesthesia is used in daily practice during cataract surgery. It is a safe technique, but not without complications. We present the case of a man who had an orbital abscess secondary to peribulbar anesthesia that led to the perforation of an unknown frontoethmoidal mucocele.

Discussion: Orbital abscess secondary to an iatrogenic mucocele perforation after anesthesia is a periorbital complication not described. The detection of the orbital process, intensive medical treatment and monitoring for signs of deterioration are vital in preventing serious complications.

Keywords: Absceso orbitario; Anestesia peribulbar; Frontoethmoidal mucocele; Mucocele frontoetmoidal; Orbital abscess; Peribulbar anesthesia.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Abscess / drug therapy
  • Abscess / etiology*
  • Abscess / surgery
  • Aged, 80 and over
  • Anesthesia, Local / adverse effects*
  • Cataract Extraction
  • Edema / etiology
  • Humans
  • Iatrogenic Disease
  • Lens Implantation, Intraocular
  • Male
  • Mucocele / complications
  • Mucocele / diagnosis
  • Mucocele / surgery*
  • Orbital Diseases / etiology*
  • Orbital Diseases / therapy
  • Paranasal Sinus Diseases / complications
  • Paranasal Sinus Diseases / diagnosis
  • Paranasal Sinus Diseases / surgery*
  • Streptococcal Infections / etiology*
  • Streptococcal Infections / therapy
  • Surgical Wound Infection / therapy*