[Cite as Lally v. Mukkada, 2011-Ohio-3681.] 

 

Civil Appeal From: Hamilton County Court of Common Pleas 

 

Judgment Appealed From Is: Affirmed 

Date of Judgment Entry on Appeal: July 29, 2011 

Sutton Rankin Law, PLC, Harry D. Rankin, and Roger N. Braden, for PlaintiffAppellant, 

Lindhorst & Dreidame, Michael F. Lyon, and Bradley D. McPeek, for DefendantsAppellees. 

Please note: This case has been removed from the accelerated calendar. 

IN THE COURT OF APPEALS 

FIRST APPELLATE DISTRICT OF OHIO 

HAMILTON COUNTY, OHIO 

EDWARD LALLY,

 Plaintiff-Appellant, 

 vs. 

THRESIAMMA MUKKADA, M.D., 

 and 

INDEPENDENT 

ANESTHESIOLOGISTS, P.S.C., 

 Defendants-Appellees. 

:

: 

: 

: 

: 

: 

: 

: 

APPEAL NO. C-100602 

TRIAL NO. A-0800142 

D E C I S I O N.
OHIO FIRST DISTRICT COURT OF APPEALS

2

SUNDERMANN, Presiding Judge. 

{¶1} Edward Lally appeals the trial court’s judgment that denied his 

motion for a directed verdict and motion for a judgment notwithstanding the verdict 

or a new trial, and that entered judgment in favor of Thresiamma A. Mukkada, M.D., 

and Independent Anesthesiologists, P.S.C. We conclude that Lally’s sole assignment 

of error is without merit, so we affirm the judgment of the trial court. 

{¶2} Lally filed a complaint against Mukkada in which he alleged that 

Mukkada had failed to meet the standard of care for an anesthesiologist. The case 

was tried to a jury. During trial, Lally presented evidence that, in July 2006, he had 

gone to Tri-State Centers for Sight for outpatient cataract surgery on his right eye. 

Mukkada, who is an anesthesiologist for Independent Anesthesiologists, 

administered anesthetic in the area around Lally’s right eye. After Mukkada had 

performed the procedure, Dr. Jean Noll, who was to perform the cataract surgery, 

realized that Lally’s right eye had been injured. The cataract surgery was cancelled, 

and Lally was referred to Dr. Christopher Devine, a retinal specialist. According to 

Devine, Lally had lost pressure in his eye as a result of the anesthesia procedure. 

Devine monitored the condition of Lally’s eye over several weeks and on August 24, 

2006, performed vitrectomy surgery to remove the lens and the original cataract 

from the eye and to clear the blood from the back cavity of the eye. Devine testified 

that when the vitrectomy was performed, Lally’s retina was completely detached. 

According to Devine, Lally could be categorized as blind in his right eye. 

{¶3} At the conclusion of the defense’s case, Lally moved for a directed 

verdict, which was denied by the trial court. The jury found in favor of Mukkada and 
OHIO FIRST DISTRICT COURT OF APPEALS

3

Independent Anesthesiologists. Lally filed a motion for a judgment notwithstanding 

the verdict and/or a new trial. That motion was also denied by the trial court. 

{¶4} In his sole assignment of error, Lally asserts that the trial court erred 

when it denied his motion for a directed verdict and his motion for a judgment 

notwithstanding the verdict (“JNOV”) and/or a new trial. 

{¶5} “The standards applied to motions for directed verdict and motions 

for judgment notwithstanding the verdict are identical.”1 Under Civ.R. 50(A)(4), the 

trial court should direct a verdict or enter a judgment notwithstanding the verdict 

when, “after construing the evidence most strongly in favor of the party against 

whom the motion is directed, [the trial court] finds that upon any determinative 

issue reasonable minds could come to but one conclusion upon the evidence 

submitted and that conclusion is adverse to such party[.]” This court reviews the 

trial court’s decision de novo.2

{¶6} The trial court’s standard for ruling upon a motion for a new trial 

under Civ.R. 59(A)(6) requires that the court “weigh the evidence and pass upon the 

credibility of the witnesses, not in the substantially unlimited sense that such weight 

and credibility are passed on originally by the jury but in the more restricted sense of 

whether it appears to the trial court that manifest injustice has been done and that 

the verdict is against the manifest weight of the evidence.”3 We review the trial 

court’s denial of a motion for a new trial under an abuse-of-discretion standard.4 

{¶7} Lally contends that Mukkada failed to meet the standard of care for 

an anesthesiologist because the evidence showed that Mukkada had performed a 

 1 Mantua Mfg. Co. v. Commerce Exchange Bank, 75 Ohio St.3d 1, 3, 1996-Ohio-187, 661 N.E.2d 

161. 

2 Merkl v. Seibert, 1st Dist. Nos. C-080973 and C-081033, 2009-Ohio-5473, ¶52. 

3 Rohde v. Farmer (1970), 23 Ohio St.2d 82, 262 N.E.2d 685, paragraph three of the syllabus. 

4 Id., paragraph one of the syllabus. See, also, Merkl, supra, at ¶56-57. 
OHIO FIRST DISTRICT COURT OF APPEALS

4

“peribulbar procedure” for which she was not trained. During Mukkada’s deposition, 

there was confusion between the terms “periobulbar” and “peribulbar.” According to 

Dr. Allan Flach, an expert witness for Mukkada, a “peribulbar injection involves 

taking a long needle, an inch and a quarter, an inch and a half, and passing it way 

back beyond the equator of the eye.” Mukkada admitted that she had no training in 

peribulbar injections. But on the anesthesia record that she had filled out for Lally’s 

procedure, Mukkada had checked the box indicating that she had done a peribulbar 

injection. There was no box on the form for “periobulbar injection.” 

{¶8} Despite the confusion in the terms, there was sufficient evidence 

presented by Mukkada that she had not performed a peribulbar injection but a 

periobulbar injection. Mukkada described the procedure that she performed as one 

involving a needle less than .5 inch in length. According to Mukkada, during the 

procedure, she injected anesthesia in two locations around Lally’s eye. Flach 

reviewed Mukkada’s description of the procedure, and his testimony was consistent 

with a determination that Mukkada had administered a periobulbar injection. 

{¶9} There was sufficient evidence presented that Mukkada had met the 

standard of care when she performed the procedure. And Lally did not call an 

anesthesiologist to testify about whether the procedure was properly performed. 

Although Lally presented evidence that his eye had been injured during the 

procedure, there was evidence presented by Mukkada that an injury could have 

occurred due to the physiology of Lally’s eye. And Flach testified that Devine’s scans 

of Lally’s eye in the weeks after the anesthesia procedure must have indicated that 

Lally’s retina was not detached. According to Flach, Devine would not have 

performed a vitrectomy if the retina was not in a safe position. Flach stated, “So as 

best I can tell from the records then, Doctor Devine saw Mr. Lally, he expected to go 
OHIO FIRST DISTRICT COURT OF APPEALS

5

in with a nicely attached retina there. In other words, the film was in the camera, 

and then he was simply going to take out the cloudy lens, put in a clear lens, take the 

blood and any abnormal vitreous out, and he was expecting, I believe, a good result 

for Mr. Lally.” Such testimony called into question whether Mukkada’s procedure 

had caused Lally’s vision loss. 

{¶10} Lally next contends that even if Mukkada presented sufficient 

evidence that she had performed a periobulbar injection, she still fell below the 

standard of care because the procedure was not recognized as appropriate for 

cataract surgery. Lally points to the testimony of Drs. Andrew Dahl and Flach, who 

testified that they had never seen the procedure used for cataract surgery. But 

whether the procedure was indicated for cataract surgery did not bear on whether 

Mukkada performed the injection consistent with the standard of care for an 

anesthesiologist. Mukkada’s testimony was that she performed the procedure at the 

request of Dr. Michael Halpin, who was originally scheduled to perform Lally’s 

cataract surgery, and Dr. Noll, who cancelled the surgery after seeing the injury to 

Lally’s eye. It did not fall within the purview of her specialty to determine whether 

the anesthesia procedure chosen by the ophthalmologists was appropriate for 

cataract surgery. 

{¶11} Construing the evidence most strongly in favor of Mukkada, we 

conclude that reasonable minds could have differed on whether Mukkada had met 

the standard of care attributable to anesthesiologists. The trial court properly denied 

Lally’s motions for a directed verdict and for a JNOV. Also, we conclude that the 

record supports the judgment of the trial court that the jury’s verdict was not against 

the manifest weight of the evidence. Accordingly, we find no abuse of discretion by 
OHIO FIRST DISTRICT COURT OF APPEALS

6

the trial court in overruling Lally’s motion for a new trial. The sole assignment of 

error is without merit, and we therefore affirm the judgment of the trial court. 

Judgment affirmed. 

HENDON and CUNNINGHAM, JJ., concur. 

Please Note: 

 The court has recorded its own entry this date.