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Updated: Aug 2, 2026
An Alternative and Validated Injection Method for Accessing the Subretinal Space via a Transcleral Posterior Approach
Published on: December 7, 2016
Globe perforation associated with subtenon's anesthesia
1College of Osteopathic Medicine, University of Health Sciences, Kansas City, Missouri, USA.
Purpose:
To report a case of globe perforation while initiating posterior subtenon's anesthesia.
Methods:
Case report. A 40-year-old man with a history of retinal detachment in both eyes presented for repair of a second retinal detachment in the LE.
Results:
Upon dissecting a space beneath the Tenon capsule with scissors, the globe was perforated.
Conclusion:
In patients with prior ophthalmologic surgery, thinned sclera, or excess scar tissue, increased caution should be employed during initiation of sub-Tenon anesthesia or an alternative method should be used.
