Treatment of patients with painful blind eye using stellate ganglion block

Brazilian Journal of Anesthesiology
Tatiana Vaz Horta XavierTereza Cristina Bandeira Silva Mendes

Abstract

management of pain in painful blind eyes is still a challenge. Corticosteroids and hypotensive agents, as well as evisceration and enucleation, are some of the strategies employed so far that are not always effective and, depending on the strategy, cause a deep emotional shock to the patient. Given these issues, the aim of this case report is to demonstrate a new and viable option for the management of such pain by treating the painful blind eye with the stellate ganglion block technique, a procedure that has never been described in the literature for this purpose. six patients with painful blind eye, all caused by glaucoma, were treated; in these patients, VAS (visual analogue scale for pain assessment, in which 0 is the absence of pain and 10 is the worst pain ever experienced) ranged from 7 to 10. We opted for weekly sessions of stellate ganglion block with 4 mL of bupivacaine (0.5%) without vasoconstrictor and clonidine 1 mcg/kg. Four patients had excellent results at VAS, ranging between 0 and 3, and two remained asymptomatic (VAS=0), without the need for additional medication. The other two used gabapentin 300 mg every 12h. currently, there are several therapeutic options for the treatment of painful blind eye, among whic...Continue Reading

References

Oct 6, 2000·Ophthalmic Plastic and Reconstructive Surgery·P L Custer, C E Reistad
Oct 20, 2000·Retina·M F EstafanousG Baerveldt
Jul 26, 2002·Journal of Glaucoma·Teresa C ChenEdgar U Leuenberger
Feb 1, 1953·The British Journal of Ophthalmology·S J H MILLER
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Jan 25, 2008·Clinical and Experimental Pharmacology & Physiology·Gael F GibbsJacqueline K Phillips
Oct 28, 2008·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Ilaria SalvaggioAdriana Mascaro

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Citations

Feb 18, 2017·World Journal of Gastroenterology : WJG·Hong-Ying ZhaoYun-Feng Liu

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