Macula-Involving Serous Choroidal Detachment following Multiple Short-Interval Trans-Tenon's Capsule Retrobulbar Anesthesia Injections during Vitreoretinal Surgery: A Case Report.

ABSTRACT:

Introduction

Compared with sub-Tenon's anesthesia (STA), trans-Tenon's capsule retrobulbar anesthesia (TTRBA) provides rapid and complete akinesia. However, excessive anesthetic volume may cause complications such as choroidal detachment (CD).

Case presentation

A 59-year-old man who had previously undergone cataract surgery presented with rapidly progressive visual field constriction in the right eye. The best corrected visual acuity (BCVA) was 20/16; intraocular pressure, 13 mm Hg; and axial length, 29.99 mm. Multiple retinal breaks were detected in the superior and nasal retina, with retinal detachment extending from the superior to the inferior retina. Vitrectomy was performed under local anesthesia. STA (2.5 mL lidocaine) was followed by TTRBA (3.0 mL initially, plus an

SUBMITTER: Sadahide A 

PROVIDER: S-EPMC12659597 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature