OCULAR PERFORATION DURING PERIBULBAR ANESTHESIA

Six cases of ocular perforation after peribulbar anaesthesia are repor ted. They were referred to our vitreoretinal unit from other hospitals over a 6 week period. Some recent reports of ocular perforation with peribulbar anaesthesia suggest a good prognosis. In this series all si x required surgical intervention and most cases associated with a reti nal detachment had a poor outcome. This study highlights the dangers o f ocular perforation and emphasises the need for supervised training o f peribulbar anaesthesia and early referral should ocular perforation occur.