[Zhonghua yan ke za zhi] Chinese journal of ophthalmology · 2001
[Accidental perforation of the globe during peribulbar injection].
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Wang W
Аннотация
OBJECTIVE: To evaluate clinical manifestations, management, visual outcome and prevention of accidental penetration of the globe during peribulbar injection.
METHODS: The medical records of 12 cases were retrospectively reviewed. The disposable needle was used in all the cases except one to whom a reusable needle was applied. Lidocaine was injected in 2 cases, steroid or steroid combined with antibiotics was injected in the remaining ones.
RESULTS: The main symptoms were acute loss of visual acuity (VA) and pain in the involved eye. The signs included vitreous hemorrhage, white steroid material in the vitreous cavity, retinal break and detachment, high intraocular pressure or hypotony and rupture of cataract surgical wound. The treatments consisted of vitrectomy, the repair of retinal detachment or ruptured cataract surgical wound. Six cases ended with VA < or = 0.05.
CONCLUSION: Inadvertent intraocular perforation during peribulbar injection is a serious complication. The best method to rescue such cases is prevention.
METHODS: The medical records of 12 cases were retrospectively reviewed. The disposable needle was used in all the cases except one to whom a reusable needle was applied. Lidocaine was injected in 2 cases, steroid or steroid combined with antibiotics was injected in the remaining ones.
RESULTS: The main symptoms were acute loss of visual acuity (VA) and pain in the involved eye. The signs included vitreous hemorrhage, white steroid material in the vitreous cavity, retinal break and detachment, high intraocular pressure or hypotony and rupture of cataract surgical wound. The treatments consisted of vitrectomy, the repair of retinal detachment or ruptured cataract surgical wound. Six cases ended with VA < or = 0.05.
CONCLUSION: Inadvertent intraocular perforation during peribulbar injection is a serious complication. The best method to rescue such cases is prevention.