Inadvertent retrobulbar administration of hypertonic saline prior to cataract extraction

Andrew G Lee; William Lipsky; James N Bates; Frank Grady

doi:10.1016/s0886-3350(01)00805-7

Inadvertent retrobulbar administration of hypertonic saline prior to cataract extraction

J Cataract Refract Surg. 2002 Jan;28(1):192-4. doi: 10.1016/s0886-3350(01)00805-7.

Authors

Andrew G Lee¹, William Lipsky, James N Bates, Frank Grady

Affiliation

¹ Department of Ophthalmology, Neurology, and Neurosurgery, The University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1091, USA.

PMID: 11777731
DOI: 10.1016/s0886-3350(01)00805-7

Abstract

A 36-year-old woman with retinitis pigmentosa was scheduled for removal of posterior subcapsular cataracts and experienced inadvertent retrobulbar administration of hypertonic saline. The patient developed retrobulbar pain and ophthalmoplegia that slowly improved over time. Hypertonic saline may cause ophthalmoplegia and pain if inadvertently given as a retrobulbar injection.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Female
Humans
Injections
Lens Implantation, Intraocular
Medication Errors*
Ophthalmoplegia / chemically induced*
Ophthalmoplegia / physiopathology
Orbit / drug effects*
Pain / chemically induced*
Pain / physiopathology
Phacoemulsification*
Saline Solution, Hypertonic / adverse effects*

Substances

Saline Solution, Hypertonic