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Buccal fat pad hemorrhage after retrobulbar injection
Rachel Kuchtey1, Julian D Perry, Leonid Lerner
1Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Purpose:
To enable ophthalmologists to recognize and manage buccal fat pad hemorrhage occurring after retrobulbar injection.
Design:
Interventional case report.
Methods:
A 52-year-old woman with proliferative diabetic retinopathy underwent left retrobulbar injection before panretinal photocoagulation (PRP).
Results:
Immediately after PRP, the patient complained of left cheek swelling. Ocular examination was unremarkable. Computed tomographic imaging studies confirmed the clinical diagnosis of hemorrhage within the buccal fat pad. No hemorrhage was found within the retrobulbar space. The hemorrhage resolved spontaneously without sequelae.
Conclusion:
This case widens the known spectrum of hemorrhagic complications after retrobulbar injection.
