Peribulbar Block for Blood Plug in Corneal Hydrops: Case Report

Authors

  • Giulliano Gardenghi Hospital ENCORE https://orcid.org/0000-0002-8763-561X
  • Cesar Taia Hospital de Olhos de Aparecida de Goiânia, GO, Brazil.
  • Marco Túlio Figueiredo Goiânia Anesthesia Clinic (CLIANEST), Goiânia, GO, Brazil.
  • Laryssa Paiva Ávila Hospital de Olhos de Aparecida de Goiânia, GO, Brazil.
  • Gustavo Siqueira Elmiro Goiânia Anesthesia Clinic (CLIANEST), Goiânia, GO, Brazil.

DOI:

https://doi.org/10.25751/rspa.39988

Keywords:

Anesthetics, Local, Cornea, Corneal Edema, Corneal edema

Abstract

Acute corneal hydrops (ACH) is a rare ocular injury, with high comorbidity, with several surgical techniques described, but which continues to have high rates of therapeutic failures, surgical reapproaches and complications. This work presents the case of a young patient with ACH secondary to keratoconus treated with the unusual method of applying an autologous blood patch to the corneal stroma and describes the experience of the peribulbar block as an anesthetic strategy to manage an ophthalmological condition that manifests several physiological changes and anatomical features in the orbital region.

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References

McRae L, Presland A. A review of current ophthalmic anaesthetic practice. Br Med Bull. 2020;135:62-72. doi: 10.1093/bmb/ldaa022.

Bafna RK, Kalra N, Asif MI Beniwal A, Lata S, Sharma SV, Agarwal R, et al .Management of acute corneal hydrops – Current perspectives. Indian J Ophthalmol. 2024;72:495-507. doi:10.4103/IJO.IJO_2160_23

Regis LZ, Arcoverde AL, Lobato F, Cunha F. Giant acute corneal hydrops: report of a case treated with autologous blood injection. Rev Bras Ophthalmol. 1998;57:881-4.

Gouveia B, Ferreira L, Maia P. Anesthetic Approach in Ambulatory Vitrectomy: Peribulbar Block vs. Balanced General Anesthesia. Anesthesiol Res Pract. 2022;2022:3838222. doi: 10.1155/2022/3838222.

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Published

2025-04-04

How to Cite

Gardenghi, G., Taia, C., Figueiredo, M. T. ., Ávila, L. P. ., & Elmiro, G. S. . (2025). Peribulbar Block for Blood Plug in Corneal Hydrops: Case Report . Journal of the Portuguese Society of Anesthesiology, 34(1). https://doi.org/10.25751/rspa.39988

Issue

Vol. 34 No. 1 (2025): Revista da Sociedade Portuguesa de Anestesiologia

Section

Case Report

License

Copyright (c) 2025 Cesar Taia, Marco Túlio Figueiredo, Laryssa Paiva Ávila, Gustavo Siqueira Elmiro, Giulliano Gardenghi

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