Indwelling sub-tenon space catheter bupivicaine infusion for intractable ocular pain in secondary glaucoma refractory to medical management

Acutely raised intraocular pressure (IOP) can cause significant pain. Often elevated IOP can be managed with topical, oral and intravenous medication.1 Surgical intervention is required when medical management is insufficient.2 When the visual prognosis is poor, intervention with cyclocryotherapy is one option for surgical management of elevated IOP, however the effect is delayed. This is an issue in patients with pain refractory to oral and intravenous analgesia.