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Ocular injury via epinephrine auto-injector
Geoffrey Collett1, Abdelrahman M Elhusseiny2, Christina Scelfo3
1Department of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts; Department of Ophthalmology, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts.
Summary
Accidental epinephrine injection into the eye can cause lens opacity. Prompt cataract surgery and intraocular lens implantation led to a good visual outcome in a pediatric case.
Area of Science:
- Ophthalmology
- Toxicology
Background:
- Intraocular injury from epinephrine auto-injector use is uncommon.
- The toxic effects of epinephrine on intraocular structures remain unclear.
Observation:
- A 2-year-old girl experienced inadvertent epinephrine injection into her right eye.
- The patient developed a progressively opaque lens following the injury.
Findings:
- Cataract surgery was successfully performed to address the lens opacity.
- An intraocular lens was implanted during the surgery.
- The patient achieved a favorable visual outcome with no evidence of retinal damage.
Implications:
- This case highlights the potential for intraocular injury from epinephrine auto-injectors.
- Early surgical intervention can restore vision following such injuries.
- Further research is needed to fully understand the toxic risks of intraocular epinephrine.
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