Resolution of pain with periocular injections in a patient with a 7-year history of chronic ocular pain

American Journal of Ophthalmology Case Reports
Eric Rh DuerrAnat Galor

Abstract

We report a case of a male patient with chronic ocular pain that resolved completely following peripheral nerve blocks. A 66-year-old male presented with a seven-year history of severe left eye pain and photophobia. The pain began after retinal detachment repair with scleral buckle placement. Previous treatments included topical (autologous serum tears, corticosteroids, diclofenac, cyclosporine) and oral (gabapentin, diclofenac) therapies with no pain relief. The patient's pain was so severe that he requested enucleation. After discussion, the decision was made to perform periocular nerve blocks. Prior to the procedure, the patient reported an average pain intensity of 8 out of 10 and photophobia daily. Following left supraorbital, supratrochlear, infraorbital and infratrochlear injections with bupivacaine and methylprednisolone, pain intensity and photophobia improved to 1-2 out of 10. One week later, repeat infraorbital and infratrochlear nerve blocks were given, after which time the patient reported complete resolution of symptoms that lasted for 7 months. Repeat nerve blocks were administered with repeat resolution of pain. There were no complications associated with the procedures. Chronic ocular pain can be a debilitating...Continue Reading

Citations

Aug 9, 2019·Journal of Refractive Surgery·Siri P Yalamanchili, Richard W Hertle
Jun 6, 2020·Ophthalmology and Therapy·Divy MehraAnat Galor
Jul 17, 2020·American Journal of Ophthalmology Case Reports·Nandini VenkateswaranAnat Galor
May 5, 2021·Neuromodulation : Journal of the International Neuromodulation Society·Divy MehraAnat Galor
Nov 11, 2021·Journal of Refractive Surgery·Mehrdad MohammadpourRenato Ambrósio

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BETA
confocal microscopy

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