Evaluation of 19 cases of inadvertent globe perforation due to periocular injections.
Indian J Ophthalmol
;
2007 Mar-Apr; 55(2): 103-7
Article
in English
| IMSEAR
| ID: sea-71412
ABSTRACT
BACKGROUND:
Inadvertent globe perforation due to periocular injection is a serious iatrogenic complication.AIM:
To study risk factors, management and visual outcome of inadvertent globe perforation during periocular injection, in cases referred to a tertiary eye care center. DESIGN ANDSETTING:
Retrospective study at a tertiary referral center with a single investigator. MATERIALS ANDMETHODS:
Nineteen consecutive cases with a clinical diagnosis of globe perforation were studied (1998-2004). Clinical setting, risk factors, clinical presentation, management and visual outcome were analyzed.RESULTS:
Retrobulbar injections 6 (32%), peribulbar injections 10 (53%) and subconjunctival injections 3 (16%) were responsible for inadvertent globe perforation. Anesthetists accounted for 6 (32%) injections and 13 (69%) were referred from high volume community settings. Anesthetists identified the mishap on the table in 17% (1 out of 6) of cases and the ophthalmologists in 69% (9 out of 13) myopia was present in 10 (53%). Breaks were located inferotemporally in nine eyes. Four underwent laser and cryopexy, 14 (74%) underwent vitreous surgery. Visual acuity greater than 20/200 was achieved in 12 patients.CONCLUSION:
Myopia was found to be a significant risk factor. Inferotemporal breaks were common. Anesthetists were more likely to miss this complication when it occurred. In this series, intervention salvaged vision in a significant number of eyes.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Orbit
/
Prognosis
/
Vitrectomy
/
Humans
/
Visual Acuity
/
Eye Injuries, Penetrating
/
Trauma Severity Indices
/
Retrospective Studies
/
Risk Factors
/
Follow-Up Studies
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Language:
English
Journal:
Indian J Ophthalmol
Year:
2007
Type:
Article
Similar
MEDLINE
...
LILACS
LIS