Retrobulbar block (numbing the eye with a needle injection)
Posted , 8 users are following.
I've scheduled cataract surgery in September, but now the surgeon is saying he has called for an anesthesia called retrobulbar block, which is numbing the eye with a needle inserted into the optic nerve. He said it's because my cataract is dense (3) and my eyes don't dilate wide enough (5 1/2). This sounds very scary to me and I don't like the risk factors...damage to the eye muscles, blood clot, retinal detachment, and total blindness! Has anyone had this type of anesthesia for cataract surgery?? Do I really have to have it?
1 like, 11 replies
henry54998 tee07774
Posted
Their is always risk, and on time I was told by a chinese registrar, "3% chance you go heaven".
What I am trying to say is this. Have you got faith in the sugical team, who may well have dealt with similar difficult cases? You have an eye with a bad cataract, so what is the worst that can happen, and how likely? Put that against the more likely benefits, and decide!
Having had both eyes done, I know my answer>
jude65855 tee07774
Posted
robert93685 tee07774
Posted
A retrobulbar needle is sharp whereas using a subtenons cannula which is blunt offers less risk haemorrhage behind the eye. Both will effectively numb the eye prior to surgery. Neither type of injection goes into the optic nerve itself but merely the space behind the eye. The injection itself is not painful and all you feel is a little pressure. If you do feel any of the operation you should inform the surgeon because sometimes a few extra anaesthetic drops on the surface are required.
Cataract surgery is generally 97 per cent successful. Fortunately the risk of death is extremely remote and much less less than one in 1000 especially when done under local anaesthetic rather than a full general anaesthetic.
Surgery can never be at 100 per cent successful because of possible complications either during surgery or later in the post operative phase.
Dense hard catarcacts and small pupils may entail a slightly higher risk but in order to see more clearly you should have the surgery. Waiting will only result in the cataract becoming more dense.
tee07774 robert93685
Posted
So do you think the retrobular block is necessary for me because of a dense cataract (3) and smaller pupils (5 1/2). Would I be okay and pain free with topical drops?
libralady13 tee07774
Posted
Recovery was fine except I did have to go to emergency because of flashing lights which started around 4 weeks after surgery. They did think it might be retina detaching but turned out to be the gel coming away from back of the eye which is common as you get older and more likely after cataract surgery. Although things are ok now I would have gone back up to London and had a block again given the chance. That said Moorfields are great and have a good reputation and I attend the clinic for glaucoma so any problems with the eyes are picked up. Hope this helps.
Katherine_10463 libralady13
Posted
Hello libralady
I read your story and I have a question - did the flashing go away?
I had my eye done 8 weeks ago and since day one I have a blinking, pulsating light in the right corner of my eye.
I also became very nearsighted but I wanted a my vision set for distance. I see objects larger than natural. Like seeing them with a magnifying glass. I see double past the reading distance.
My doctor claims that "all is fine" but she prescribed bunch of different glasses for me to use - strange solution for someone who was promised to be able to drive and do some basic sports without any glasses except "maybe for reading fine prints".
This Friday evening, two days ago, all of the sudden, I got some very bright flashing lights. I call my doctor and see said to wait until Monday unless it gets worst. Two hours later, i notice tons of large floaters making impossible to for me to walk around without feeling dizzy and confused as they appeared to be dancing like shadows everywhere I looked.
Needless to say, I am miserable and depressed and very scared of losing my sight! Please pray for me!!!
libralady13 Katherine_10463
Posted
Bumblebea tee07774
Posted
I had mine done with the drops, and they have to keep putting them in because they dont last long, and my surgeon kept calling for more, which seemed urgent each time, this meant the aneathasist had to keep coming in to do the drops. Like 'libralady', i did keep feeling it, and for that reason I would choose the injection another time.
Katherine_10463 tee07774
Posted
here is one link
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2377384/
libralady13 Katherine_10463
Posted
tee07774 Katherine_10463
Posted
I pray you will make a full recovery!!!