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. 2018 Apr;62(4):321-322.
doi: 10.4103/ija.IJA_45_18.

Should single medial canthus injection be the default option for peribulbar blocks?

Santhana G Kannan  1
Affiliations

Should single medial canthus injection be the default option for peribulbar blocks?

Santhana G Kannan. Indian J Anaesth. 2018 Apr.
No abstract available

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
The spot shows the site of injection and entry point in the eye
Figure 2
Figure 2
Cross section of orbit showing the extraconal needle location between the medial rectus and the medial wall of orbit. The needle is directed posteriorly from point of insertion. 1 – Globe, 2 – Medial rectus, 3 – Lateral rectus, 4 – Optic nerve, 5 – Ethmoid sinus
See this image and copyright information in PMC

References

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    1. Gadkari SS. Evaluation of 19 cases of inadvertent globe perforation due to periocular injections. Indian J Ophthalmol. 2007;55:103–7. - PubMed
    1. Ball JL, Woon WH, Smith S. Globe perforation by the second peribulbar injection. Eye (Lond) 2002;16:663–5. - PubMed
    1. Brahma AK, Pemberton CJ, Ayeko M, Morgan LH. Single medial injection peribulbar anaesthesia using prilocaine. Anaesthesia. 1994;49:1003–5. - PubMed
    1. Ghali AM, Hafez A. Single-injection percutaneous peribulbar anesthesia with a short needle as an alternative to the double-injection technique for cataract extraction. Anesth Analg. 2010;110:245–7. - PubMed