Eye Injury

Abstract

  1. Kutteruf, R.E., Stephens, L., Posner, K.L., Domino, K.B., Wells, D., Lee, L.: Injury and liability associated with spine surgery. Anesthesiology, A2159, 2015.  |  Subjects: Hemorrhage, Postoperative Visual Loss, Professional Liability Related, General Anesthesia, Eye Injury, Nerve Injury, Quality of Care  |  PDF icon click here for pdf.pdf
  2. Lee L, Posner KL, Domino KB: Trends in Injuries to the Visual Pathways and Medicolegal Payments from the Closed Claims Project Database. Anesthesiology, A2058, 2013  |  Subjects: Postoperative Visual Loss, Eye Injury  |  PDF icon Click here for.pdf

Newsletter

Journal Article

  1. Lee LA, Posner KL, Cheney FW, Caplan RA, Domino KB: Complications associated with eye blocks and peripheral nerve blocks: an American Society of Anesthesiologists closed claims analysis. Reg Anesth Pain Med 33(5):416-22, 2008.  |  NLM PubMed Link  |  Subjects: Regional Anesthesia / Monitored Anesthesia Care, Eye Injury
    Anesthesiologists who provided both the eye block and sedation for eye surgery (n = 59) had more injuries associated with block placement, a higher proportion of claims with permanent injury, and a higher proportion of claims with plaintiff payment, compared with anesthesiologists who provided sedation only (n = 38). Peripheral nerve blocks (n = 159) were primarily associated with temporary injuries (56%). Local anesthetic toxicity was associated with 7 of 19 claims with death or brain damage. Performance of eye blocks by anesthesiologists significantly alters their liability profile, primarily related to permanent eye damage from block needle trauma. Though most peripheral nerve block claims are associated with temporary injuries, local anesthetic toxicity is a major cause of death or brain damage in these claims.
  2. Gild WM, Posner KL, Caplan RA, Cheney FW: Eye injuries associated with anesthesia. Anesthesiology 76:204-208, 1992.  |  NLM PubMed Link  |  Subjects: Eye Injury
    A closed claims analysis of 73 claims for eye injury (4% of the data base). Two subgroups were identified: (1) corneal abrasion as the commonness single injury, characterized by uncertain mechanism and low severity of injury; (2) patient movement during eye surgery as the commonness identified mechanism of injury, characterized by uniformly poor outcome (blindness), standard of care determinations and payment data. Identification of these two distinct subgroups emphasizes the need for development of clinical strategies designed to ensure patient immobility during ophthalmic surgery, as well as research into the mechanism of corneal abrasion during anesthesia.

Closed Claims Bibliography

To access a complete bibliography of peer-reviewed journal articles from the Closed Claims Project, click here; Closed Claims Project Bibliography . You may also request delivery of the bibliography via e-mail, fax or postal mail.

Note to Patients

These studies are primarily designed to aid physicians in improving their clinical practice. We are sorry we cannot address individual patient questions or give medical or legal advice or provide data analysis.