International Ophthalmology

, Volume 38, Issue 3, pp 1309–1312 | Cite as

Subconjunctival hemorrhage and vision loss after regional ocular anesthesia

  • Umesh Chandra Behera
  • Lapam Panda
  • Sumi Gupta
  • Rohit Ramesh Modi
Case Report



To report two cases of retinal vascular occlusion and associated subconjunctival hemorrhage in needle optic nerve injury during local bulbar anesthesia.


Surgical records of these two subjects who presented with acute vision loss after cataract extraction were studied, and systemic workup and ocular imaging were carried out to establish the cause.


Computerized tomography showed evidence of optic nerve injury.


Subconjunctival hemorrhage could be an associated clinical finding in hypodermic needle injury-related retinal vascular occlusion during ocular anesthesia.


Central retinal artery occlusion Central retinal vein occlusion Retrobulbar anesthesia Peribulbar anesthesia Subconjunctival hemorrhage 



Funding was provided by Hyderabad Eye Research Foundation.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Brod RD (1989) Transient central retinal artery occlusion and contralateral amaurosis after retrobulbar anesthetic injection. Ophthalmic surg 20(9):643–646PubMedGoogle Scholar
  2. 2.
    Sullivan KL, Brown GC, Forman AR, Sergott RC, Flanagan JC (1983) Retrobulbar anesthesia and retinal vascular obstruction. Ophthalmology 90(4):373–377CrossRefPubMedGoogle Scholar
  3. 3.
    Bron AJ, Tripathi RC, Tripathi BJ (1997) The connective tissue septa of the orbit. In: Wolff’s anatomy of the eye and orbit, 8th edn. Chapman & Hall, London, p 147Google Scholar
  4. 4.
    Kumar CM (2011) Needle based blocks for the 21st century ophthalmology. Acta Ophthalmol 89(1):5–9CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2017

Authors and Affiliations

  • Umesh Chandra Behera
    • 1
  • Lapam Panda
    • 1
  • Sumi Gupta
    • 2
  • Rohit Ramesh Modi
    • 1
  1. 1.L V Prasad Eye InstitutePatia, BhubaneswarIndia
  2. 2.Srikrishna Eye InstituteHaridwarIndia

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