What causes retrobulbar hemorrhage?
RBH can occur due to orbital trauma, complication of eyelid or orbital surgery, or any process that can affect blood supply to the eye, such as arteriovenous malformations, orbital varicosities, or lymphangiomas. It can be potentiated by the use of anticoagulation medication.
How do you manage retrobulbar hemorrhage?
The majority of retrobulbar hemorrhages can be managed conservatively with digital ocular massage or intravenous acetazolamide or mannitol. However, further surgical intervention is indicated when vision is at risk.
Is retrobulbar hemorrhage painful?
The most common symptoms of retrobulbar hemorrhage include pain, pressure and loss of vision. Other common symptoms include diplopia, nausea and vomiting. The pain associated with retrobulbar hemorrhage is typically severe and may have a steady, lancinating quality.
What is the best treatment for retrobulbar neuritis?
Many cases improve without treatment. Sometimes, a corticosteroid medication, such as intravenous methylprednisolone, is used to treat retrobulbar neuritis. The type of therapy depends on the suspected cause of the problem.
Is retrobulbar injection safe?
Conclusions: Retrobulbar injection using 10 mL lidocaine is safe in normal eyes of adult horses, but carries risk in structurally compromised or glaucomatous eyes due to transient IOP increase.
How do you inject a retrobulbar?
Retrobulbar injection: the needle is passed through the junction of the middle and outer third of the inferior orbital rim, then straight back below the eye for 15 mm. The needle should be parallel to the floor of the orbit and angled down.
When is retrobulbar block used?
Retrobulbar block is used for any type of eye surgery or procedure requiring eyeball (globe) anesthesia and eye muscle paralysis, such as: Cataract surgery. Corneal surgery. Refractive surgery.