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Ocular perforation from a retrobulbar injection.

M E Schneider1, D E Milstein, R T Oyakawa

  • 1Department of Ophthalmology, White Memorial Medical Center, Los Angeles, CA 90033.

American Journal of Ophthalmology
|July 15, 1988
PubMed
Summary
This summary is machine-generated.

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Retrobulbar injections can cause ocular perforation, leading to severe vision loss and proliferative vitreoretinopathy. Careful technique is crucial to prevent posterior pole injury during these procedures.

Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Ocular Trauma

Background:

  • Retrobulbar injections are common ophthalmic procedures.
  • Potential complications include ocular perforation.
  • Understanding risks is vital for patient safety.

Observation:

  • Seven cases of ocular perforation following retrobulbar injection were reviewed.
  • All needle exit sites were located in the posterior pole.
  • Three cases developed proliferative vitreoretinopathy.

Findings:

  • Proliferative vitreoretinopathy occurred in 3/7 cases, with visual acuity ≤20/200.
  • Macular injury and macular pucker were observed in two cases each.
  • Associated factors included myopia, multiple injections, and prior retinal surgery.

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Implications:

  • Ocular perforation during retrobulbar injections poses a significant risk of vision loss.
  • Posterior pole injury is a key concern.
  • Identifying predisposing factors may help mitigate risks.