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Ocular perforation during retrobulbar and peribulbar injections
L Berglin1, S Stenkula, P V Algvere
1Department of Ophthalmology, Karolinska Institutet, St. Erik's Eye Hospital, Stockholm, Sweden.
Ophthalmic Surgery and Lasers
|September 1, 1995
Summary
Ocular perforations during retrobulbar and peribulbar injections can lead to severe vision loss. Retinal detachment, a common complication, strongly correlates with poor visual outcomes in these cases.
Area of Science:
- Ophthalmology
- Ophthalmic Surgery
Background:
- Ocular perforations are a rare but serious complication of retrobulbar and peribulbar injections.
- This study reviews cases of ocular perforation following these injection techniques.
Purpose of the Study:
- To determine the incidence and characteristics of ocular perforations during retrobulbar and peribulbar injections.
- To identify risk factors associated with these perforations.
Main Methods:
- Retrospective review of 25 cases of ocular perforation between 1976 and 1993.
- Analysis of patient demographics, injection techniques (retrobulbar vs. peribulbar), and risk factors such as high myopia and needle type.
Main Results:
- Ocular perforation occurred in 25 cases following 13 retrobulbar and 12 peribulbar injections.
- Common findings included vitreous hemorrhage (100%), subretinal hemorrhage (76%), retinal breaks (76%), and retinal detachment (56%).
- High myopia and the use of Atkinson gaze were identified as significant risk factors.
Conclusions:
- Retinal detachment following ocular perforation significantly correlates with poor visual outcomes.
- Awareness of risk factors and careful injection techniques are crucial to minimize complications.