Related Experiment Video
Updated: Jul 13, 2026
04:16
Intraoperative Visualization of Subretinal Injection and Retinal Detachment in Rats
Published on: March 7, 2025
[Retinal detachment caused by ocular perforation during periocular anesthesia: three case reports]
M Spire1, J Fleury, L Kodjikian
1Service d'Ophtalmologie, Hôpital de La Croix Rousse, Lyon, France. myriam.spire@cegetel.net
Journal Francais D'Ophtalmologie
|July 25, 2007
Summary
Ocular perforation during local anesthesia for eye surgery is rare but can lead to serious complications like vitreous hemorrhage and retinal detachment. Prompt recognition and tailored surgical management are crucial for improving visual outcomes.
Area of Science:
- Ophthalmology
- Surgical Complications
- Anesthesia
Background:
- Periocular anesthesia, a common technique for eye surgery, carries a risk of ocular perforation.
- Historical context of local anesthesia for ophthalmic procedures, evolving from retrobulbar to peribulbar techniques.
Observation:
- This report details three cases of intravitreous hemorrhage following cataract surgery.
- All patients presented with retinal detachment, with one requiring enucleation due to proliferative vitreoretinopathy.
Findings:
- Intravitreal hemorrhage and retinal detachment are significant complications of inadvertent globe perforation during periocular anesthesia.
- Despite surgical intervention, two patients experienced poor visual recovery due to severe vitreoretinal issues.
Implications:
- Early detection and prompt management are essential to mitigate the visual consequences of ocular perforation.
- Surgical strategies must be individualized based on the severity of perforation and associated retinal complications.
- Managing these complex cases presents challenges, including recurrent retinal detachment and poor visual prognosis.
