Globe rupture during digital massage after peribulbar anesthesia.

A 75-year-old woman developed globe rupture with extrusion of intraocular contents during digital massage after periocular injection of an anesthetic. The rupture was repaired. At the last follow-up 6 months after surgery, visual acuity was 20/160. The retina was attached, and the vitreous hemorrhage was resolving. This complication of peribulbar anesthesia and digital massage highlights the importance of using quantitative techniques to induce hypotony during peribulbar anesthesia.