Evaluation of 19 cases of inadvertent globe perforation due to periocular injections.
Indian J Ophthalmol
;
2007 Mar-Apr; 55(2): 103-7
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Orbite
/
Pronostic
/
Vitrectomie
/
Humains
/
Acuité visuelle
/
Plaies pénétrantes de l'oeil
/
Indices de gravité des traumatismes
/
Études rétrospectives
/
Facteurs de risque
/
Études de suivi
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
langue:
Anglais
Texte intégral:
Indian J Ophthalmol
Année:
2007
Type:
Article
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