Gasserian Ganglion and Retrobulbar Nerve Block in the Treatment of Ophthalmic Postherpetic Neuralgia: A Case Report

Pain Practice ◽  
2017 ◽  
Vol 17 (7) ◽  
pp. 961-967 ◽  
Author(s):  
Jie Huang ◽  
Zhongge Ni ◽  
Philip Finch
2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Aya Kodama-Takahashi ◽  
Koji Sugioka ◽  
Tomoko Sato ◽  
Koichi Nishida ◽  
Keiichi Aomatsu ◽  
...  

Purpose. To report a case of persistent corneal epithelial defect that had occurred after a trigeminal nerve block. Case Presentation. A 75-year-old female had suffered from postherpetic neuralgia for 8 years. She underwent Gasserian ganglion block surgery and noticed declining visual acuity in the right eye on the following day. She presented with severe hyperemia and corneal epithelial defects in the right eye and experienced remarkable reduction of sensitivity in the right cornea. She was diagnosed with neurotrophic keratopathy. Ofloxacin eye ointment and rebamipide ophthalmic suspension ameliorated the corneal epithelial defects but superficial punctate keratopathy, corneal superficial neovascularization, and Descemet’s fold persisted. Although the epithelial defects occasionally recurred, the corneal sensation and epithelial defects, Descemet’s fold, and corneal superficial neovascularization all improved around 5 months after trigeminal nerve block. The HRT II Rostock Cornea Module (RCM) could not detect any corneal subbasal nerve fibers at postoperative 4 months; however, it could detect them at postoperative 6 months. Conclusions. As the nerve block effect wore off, the corneal subbasal nerve fibers slowly regenerated. As the corneal sensation improved, the corneal epithelial defects and superficial neovascularization also improved. The HRT II RCM appeared useful for observing loss and regeneration of the corneal subbasal nerve fibers.


2004 ◽  
Vol 17 (2) ◽  
pp. 275
Author(s):  
Ju Yeon Choi ◽  
Yun Jin Kim ◽  
Hee Jung Baik ◽  
Jong Hak Kim

2004 ◽  
Vol 17 (2) ◽  
pp. 255
Author(s):  
Soo Bong Yu ◽  
Sang Wook Shin ◽  
Seung Hun Baek ◽  
Chul Hong Kim ◽  
Kyung Hoon Kim ◽  
...  

1986 ◽  
Vol 11 (1) ◽  
pp. 115-116
Author(s):  
N. J. PERCIVAL

Axillary nerve blocks are now frequently used for emergency and elective upper limb surgery. The method gives reliable anaesthesia with few complications. A case is described in which a patient developed Herpes Zoster following an Axillary Nerve Block, a hitherto unreported complication.


2010 ◽  
Vol 23 (4) ◽  
pp. 262 ◽  
Author(s):  
Ji Su Jang ◽  
Hyung Ki Kwon ◽  
Jae Jun Lee ◽  
Sung Mi Hwang ◽  
So Young Lim

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