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Ocular complications associated with retrobulbar injections
C M Morgan1, H Schatz, A K Vine
1WK Kellogg Eye Center, University of Michigan Medical Center, Ann Arbor.
Ophthalmology
|May 1, 1988
Summary
Retrobulbar injections can lead to serious eye complications, including vascular emboli and occlusions. Documented cases highlight the risks of corticosteroid and anesthetic administration during these procedures.
Area of Science:
- Ophthalmology
- Medical Imaging
Background:
- Retrobulbar injections are common ophthalmic procedures.
- Potential complications necessitate thorough documentation and understanding.
Observation:
- Six distinct complications of retrobulbar injections were documented.
- Fundus photography and fluorescein angiography were utilized for diagnosis.
Findings:
- Complications included corticosteroid emboli in choroidal and optic nerve vasculature.
- Vascular occlusions (central retinal artery/vein) and subretinal/intraocular air/drug injection were observed.
- Direct trauma to the central retinal artery during injection was also noted.
Implications:
- Understanding these complications is crucial for ophthalmologists.
- Alternative injection techniques may reduce the incidence of adverse events.
- Improved procedural safety is paramount for patient outcomes.