What nerves are blocked in a retrobulbar block?

What nerves are blocked in a retrobulbar block?

Retrobulbar Block It aims to block the ciliary nerves, the ciliary ganglion, and cranial nerves III, IV, and VI. The ciliary ganglion is a parasympathetic ganglion, which lies about 1 cm from the posterior boundary of the orbit between the lateral surface of the optic nerve and the ophthalmic artery.

How long does retrobulbar block last?

How long does retrobulbar block last? Depending on the type of anesthetic used, a retrobulbar block may be short-acting, lasting about 30 minutes, or long-acting, lasting about 6-8 hours.

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.

Is a retrobulbar block painful?

Retrobulbar blocks. They block the ciliary nerves, ciliary ganglion, and cranial nerves III, IV and VI. They’re usually deeper than peribulbar blocks and require less volume to attain the goal of no movement and no pain.

What are the risks of retrobulbar block?


  • Retrobulbar hemorrhage.
  • Ocular perforation.
  • Subarachnoid or intradural injection.
  • Diplopia secondary to miotoxicity.
  • Cardiorespiratory distress.
  • Contusion and atrophy of the optic nerve.
  • Vascular retinal occlusion.
  • Seizure.

What are the effects of retrobulbar block?

This injection provides akinesia of the extraocular muscles by blocking cranial nerves II, III, and VI, which prevents movement of the globe. Retrobulbar block also provides sensory anesthesia of the cornea, uvea, and conjunctiva by blocking the ciliary nerves.

Can you see after retrobulbar block?

Patients should be warned that they may lose vision completely on being given a peribulbar anaesthetic; however their vision will improve, but not necessarily immediately, postoperatively.

Does Retrobulbar block affect vision?

Orbital hemorrhage may also cause blindness, if not recognize and treated rapidly and occurs in 0.04-1.7% of retrobulbar blocks. This can occur from venous or arterial source and will usually present with rapid-onset proptosis and a tense orbit, usually with obvious arterial blood in the orbit and/or subconjunctivally.

What is retrobulbar haemorrhage?

Retrobulbar hemorrhage (RBH) is a rapidly progressive, sight-threatening emergency that results in an accumulation of blood in the retrobulbar space.

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.

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 is retrobulbar hematoma diagnosed?

Signs of retrobulbar hemorrhage include expanding proptosis, ophthalmoplegia, increased intraocular pressure, loss of pupillary reflexes, and optic disc or retinal pallor [3, 4]. Both Computed Tomography (CT) scan and Magnetic Resonance Imaging (MRI) may be performed in the diagnosis.

How is retrobulbar hemorrhage diagnosed?

How do you treat a retrobulbar hematoma?

What is a retrobulbar hemorrhage?

  • September 5, 2022